RCP primaria Flashcards

1
Q

characteristics of high quality compressions

A

= start chest compressions within 10 sec of ID
= 100 - 120 compressions per minute
= 5 - 6 cm in depth (1.5 inches for infants)
= C - A - B order
= 30 compressions for every 2 rescue breaths (in adults, and for 1 rescuer CPR in all age groups)
= 15 compressions for every 2 rescue breaths (in children and infants)
= allow for complete chest recoil after each compression
= don’t over ventilate, assure that the breaths make chest rise
= assess for shockable rhythm ASAP (when AED arrives)

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2
Q

when must you begin CPR

A

if the person isn’t breathing or is only gasping for air, has no pulse or if you are unsure, is unresponsive

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3
Q

order of the adult chain of survival

A

recognize symptoms & activate EMS –> perform early CPR –> defibrilate with AED –> ALS –> post cardiac arrest care

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4
Q

order of the pediatric chain of survival

A

prevent arrest –> perform early CPR –> activate EMS –> ALS –> post cardiac arrest care

** children and infants most often have resp. problems that can trigger a cardiac arrest

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5
Q

what are some key points for BLS

A
  • quickly start the chain of survival
  • deliver high quality chest compressions
  • know when and how to use an AED
  • provide rescue breathing
  • understand how to work with others
  • know how to treat choking
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6
Q

one rescuer CPR steps for adults

A
  1. be safe, assess the area, be dry
  2. ID de person (shake the person and talk to them loudly- check breathing
  3. call EMS if nonresponsive and get an AED or tell someone to do it // don’t leave pt unatended
  4. check for carotid pulse (<10 sec)
  5. use the heel of one hand on the lower half of the sternum in the middle of the chest and put your other hand on top
  6. straighten your arms and start high quality chest compressions
  7. after 30 chest compressions open the airway by the heat-tild-chin-lift maneuver and give 2 rescue breaths
  8. resume chest compressions
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7
Q

adult mouth-to-mask and bag-mask ventilation caracteristics

A

you have to seal the mask against the persons face by placing 4 fingers of one hand across the top of the mask and the thumb of the other hand along the bottom edge of the mask

open the airway using the head tilt or chin lift unless pt may have head/neck injury

ventilate delivering a breath over one second as you watch the pts chest rise

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8
Q

frequency of rescue breathing when an adult pt has a pulse but irregular breathing

A

admin 1 breath every 5 - 6 seconds (10-12 breaths / min)

asses pulse every 2 mins

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9
Q

frequency of rescue breathing in an adult pt without pulse and irregular / no breathing

A

30 chest compressions for every 2 rescue breaths

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10
Q

frequency of rescue breathing in an pediatric pt without pulse and irregular / no breathing when there is on rescuer available

A

30 compressions for every 2 breaths

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11
Q

frequency of rescue breathing in an pediatric pt without pulse and irregular / no breathing when there are two rescuers available

A

15 compressions for every 2 breaths

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12
Q

T/F. when the pt is of pediatric age and you are alone in the scene you must perform CPR for 2 mins BEFORE you call EMS / call for help / get AED

A

TRUE

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13
Q

frequency of rescue breathing when a pediatric pt has a pulse but irregular breathing

A

admin 1 breath every 3-5 seconds (12 - 20 breaths / min)

asses pulse every 2 mins

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14
Q

how should chest compressions be in infants (0-12 months)

A

1 rescuer: 30C:2B
2 rescuers: 15C:2B

compress using 2 fingers of 2 thumbs - encircling hands

compressions should be 1/3 of chest depth at the center of the child’s chest

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15
Q

caracteristics of the Heimlich Maneuver in pt responsive >1yr old

A
  1. stand behind the person, wrap arms around their waist under the ribcage
  2. put side of fist above persons navel and in the middle of their belly
  3. with other hand, hold the first fist and press forcefully into the persons abdomen and upwards their chest
  4. continue until obstrucction is relieved, start BLS is pt becomes unresponsive
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16
Q

caracteristics of the Heimlich Maneuver in pt responsive <1yr old

A
  1. hold infant in your lap
  2. rest infant on your forearm, face down and their head lower than their chest. put forearm on your thigh
  3. support infants head and neck with your hand (be sure to avoid pressure on their throat)
  4. using the heel of your free hand deliver 5 back blows between the infants shoulder blades
  5. using both hands and arms, turn the infants face up so they are now resting on your other arm and this arm should now be resting on your thigh
  6. make sure head is lower than chest
  7. using fingers in your free hand, provide up to 5 quick downwarded chest thurst over the lower half of the breast bone. perform 1 thrust every sevond
  8. continue until obstrucction is relieved, start BLS is pt becomes unresponsive
17
Q

what are shockable cardiac rhythms

A

ventricular fibrilation and ventricular tachycardia

18
Q

are asystole and pulseless electrical activity shockable

A

NO