Nursing lab

Question 1

what are the 5 rings of the chain of survival

Answer 1

early access
early cpr
early defibrillation
early Advanced cardiac life support
early post resus care

Question 2

what does rhonchi (gurgling) indicates?

Answer 2

secretions in the airway

Question 3

what does wheezing indicates?

Answer 3

narrowing of airways

Question 4

what does stridor means?

Answer 4

something is blocking the airway or upper airway is narrowed

Question 5

what does rales means?

Answer 5

there is fluid in air sacs eg. pneumonia.

Question 6

ABCD

what should you do for Ventricular fibrillation / pulseless tachycardia resus?

Answer 6

A: intubate and confirm placement
B: 10-12 breaths/min
c: IV cannula
d: IV adrenaline 1mg Q3-5mins

Question 7

which drugs should you administer if you encounter refractory/recurrent VF/pulseless VT

Answer 7

IV adrenaline 1mg Q3-5mins, IV amiodarone 300mg, to give 150mg for repeated dose OR IV lignocaine 1-1.5mg/kg.

Question 8

how to dilute IV adrenaline to make it 1:10000?

Answer 8

1ml Adrenaline, + 9mls IV N/saline 0.9%

Question 9

how much amiodarone should you give for the 1st dose?

Answer 9

300mg

Question 10

how much amiodarone should you give for the repeated dose?

Answer 10

150mg

Question 11

how much lignocaine should be given for resus?

Answer 11

1-1.5mg/kg

Question 12

what to do when patient ROSC- return of spontaneous circulation

Answer 12

• provide post cardiac arrest care
• check v/s, provide airwar care
  -give meds to support BP and HR
• do investigations, CXR, ECG, bloods etc.
  stabilise and transfer to CCU/ICU

Question 13

is it true that you need to do CPR right after you administer drugs?

Answer 13

yes