Lesson 5: Cardiac Arrest & Post-Cardiac Arrest Care

Question 1

What are the defibrillation doses for pediatric patients?

Answer 1

First Shock: 2 J/kg
Second Shock: 4 J/kg
Subsequent Shocks: ≥ 4 to 10 J/kg max

Question 2

What are the Hs and Ts?

Answer 2

Hypovolemia
Hypoxia
Hydrogen Ion Access (acidosis)
Hypo/Hyperkalemia
Hypothermia
Hypoglycemia
Tamponade (cardiac)
Tension Pheumothorax
Thrombosis (pulmonary/coronary)
Toxin

Question 3

What is the dose for naloxone?

Answer 3

0.1 mg/kg (max, 2 mg)

Question 4

When should medication therapy be started if initial defibrillation attempts are unsuccessful?

Answer 4

Epinephrine after 2 shocks and then 3very 3-5 minutes.

Question 5

When should epinephrine be administered for a non-shockable rhythm?

Answer 5

ASAP

Question 6

How often should a rhythm be reassessed?

Answer 6

Every 2 minutes

Question 7

When is ETCO2 used to terminated resuscitation in adults?

Answer 7

ETCO2 < 10 mmHg after 20 min of high quality CPR.

Question 8

What does ECLS stand for and what is an example?

Answer 8

Extracorporeal Life Support
Extracorporeal membrane oxygenation (ECMO)

Question 9

What encompasses ischemic injury that occurs during cardiac arrest and the repercussion injury that follows ROSC?

Answer 9

Post-Cardiac Arrest Syndrome (PCAS)

Question 10

Assessments of prognosis become morose reliable and assume a greater focus how long after cardiac arrest?

Answer 10

72 hours