PCT quiz Flashcards

1
Q

Under the current medical directive, the maximum number of shocks that a PCP can administer is:

A

none

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2
Q

List 3 things specific to SIDS

A

typical age range between 2-4 months, leading cause of death in 1 month to 1 year old infants, no identifiable cause.

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3
Q

For every minute without CPR, survival for a witnessed sudden VF cardiac arrest decreases by _____ percent.

A

7-10%

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4
Q

Which of the following describes the minimum required condition for application of manual defibrillation according to the provincial patient care standards?

A

Patient must be > 8 yrs old

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5
Q

Which of the following is the most appropriate treatment for a medical patient with the ECG shown below?

(Aystole)

A

analyze ECG, anticipate no-shock advised and patch following 20 minutes of resuscitation

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6
Q

What is the minimum age condition for the trauma TOR (termination of resuscitation) medical directive

A

16

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7
Q

How long should a pulse check take for a patient that is unresponsive and appears apneic?

A

< 10 seconds

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8
Q

What is the ideal compression rate when doing CPR?

A

100-120

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9
Q

Defibrillation can restart the heart

t/f)

A

false

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10
Q

What is the first and most important step in the Chain of Survival?

A

early recognition and call 911

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11
Q

Shortening EMS response times can increase survival from SCA (sudden cardiac arrest).

t/f

A

true

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12
Q

What is the compression-ventilation ratio for a child when there are 2 rescuers present?

A

15:2

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13
Q

List 3 situations where it would be appropriate to transport you VSA patient after the 1st analysis in a medical Cardiac arrest (as listed in the ALS PCS clinical considerations)

A

foreign body airway obstruction, pregnancy greater than or equal to 20 weeks gestation, and non-opioid toxicity

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14
Q

How do compressions create blood flow?

A

Compressing the chest causes an increase in intrathoracic pressure to pump the blood out of the heart. The compression of the heart muscle also allows for the chambers to contract.

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15
Q

Describe the preferred technique for administering chest compressions to the infant patient

A

2 thumbs circumfrential at the nipple line

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16
Q

List the 3 phases of cardiac arrest

A

electrical phase, circulatory phase an metabolic phase.

17
Q

a 6 yr old patient that is in respiratory distress, has a HR of 52, altered LOA, mottled extremities, and no improvement with ventilations

should you do cpr?

A

yes

18
Q

In which phase of the cardiac arrest are we most likely to see a ROSC? Why?

A

phase 1 (electrical phase), because this phase involves early use of defib within the 0-4mins of VSA and the pt is commonly in VF or pulseless VT. Early shocks of VF or VT will have a higher likelihood of a rosc because there is still enough oxygen to the heart muscle.

19
Q

How old is the infant patient as defined by the AHA?

A

<1yr

20
Q

It is expected that for cardiac arrest associated with known opioid OD, Narcan is given to ensure return of respiratory effort.

T/F

A

false

20
Q
A