Resuscitation

Question 1

step by step bls

Answer 1

• call for help
• initial 30 compressions
• 2 rescue breaths
• continue
• follow aed

Question 2

t/f immediately resume cpr after shocking with aed

Answer 2

true

Question 3

if no shock is advised by aed __

Answer 3

resume cpr

Question 4

do not interrupt resuscitation until

Answer 4

• health professional tells you to stop
• victim is waking
• you become exhausted

Question 5

if unresponsive but breathing

Answer 5

• place in recovery position

Question 6

cardiac arrest rhythms

Answer 6

• vfib
• pulseless vtach
• asystole
• pulseless electrical activity

Question 7

shockable rhythms

Answer 7

vfib and pulseless vt

SCREAM
shock
cpr
rhythm
epi
amiodarone

Question 8

non-shockable rhythms

Answer 8

asystole and pea

PE
pump (cpr)
epi

Question 9

t/f you can shock asystole and pea

Answer 9

false!!!

Question 10

intubation confirmation

Answer 10

• continuous waveform capnography

- room air: 21% o2

Question 11

incorrect and correct capnograph results

Answer 11

incorrect: 1% co2

correct: petco2 = 35-40 mmhg (blood), paco2 40-45 mmhg (lungs)
blood > lungs

Question 12

emergency drugs that can be given through et

Answer 12

NAVEL – 3-5x normal dos

naloxone
atropine
vasopressin
epi
lidocaine

Question 13

advanced care life support needs

Answer 13

• rhythm
• shockable: 1 shock then cpr 2 mins
• non-shockable: cpr
• adrenaline/epi every 3-5 mins
• amiodarone after 3shocks

Question 14

t/f in intubated pts, compressions and ventilation are synchronous

Answer 14

false, asynchronous. compressions + 10-12 breaths/min

Question 15

reversible causes of abnormal breathing

Answer 15

4H 4T

• hypoxia
• hypovolemia
• metabolic acidosis (hypo/hyperkalemia)
• hypo/hyperthermia
• thrombosis
• tension pneumothorax
• cardiac tamponade
• toxins

Question 16

after return of spontaneous cirulation

Answer 16

• target o2 sat 94-98% and normal paco2

- therapeutic hypothermia (32-36 c for 24-48 hrs)

Question 17

t/f in the 2021 guidelines you still listen and feel for breathing

Answer 17

false

Question 18

points from 2021 guidelines

Answer 18

• avoid giving rescue breaths
• avoid bag-mask ventilation
• simv mode preferred
• put mask on patient

Question 19

code team roles

Answer 19

• chest compressions
• airway
• medications
• electrical therapy

Question 20

pulseless vfib code sequence

Answer 20

• compressions
• simv fio2 100, bur 12
• push epi 1 mg
• defib
• resume cpr

Question 21

pulseless vtach code sequence

Answer 21

• compressions
• simv fio2 100 bur 12
• epi
• defib
• resume cpr

Question 22

vtach w pulse code sequence

Answer 22

• check bp
• bp < 90/60 = synchronized cardioversion
• bp > 90/60 = iv meds: amiodarone, lidocaine, etc.

Question 23

asystole code sequence

Answer 23

• compressions
• simv fio2 100 bur 12
• epi
• standby

Question 24

idioventricular rhythm code sequence

Answer 24

PEA

• compression
• simv
• epi
• standby

Question 25

pulseless svt

Answer 25

PEA

• compression
• simv
• epi
• standby

Question 26

svt with pulse

Answer 26

check bp

• bp < 90/60 = sync cardioversion
• bp > 90/60 = iv meds amiodarone, lidocaine, etc

Question 27

pulseless afib

Answer 27

PEA

• compressions
• simv
• epi
• standby

Question 28

afib with pulse

Answer 28

check bp

• bp < 90/60 = sync cardioversion
• > 90/60 iv meds

Question 29

pulseless 3rd degree av block

Answer 29

PEA

• compressions
• simv
• epi
• standby

Question 30

3rd degree av block with pulse

Answer 30

check bp
< 90/60 = pacemaker, atropine, dopamine, etc
> 90/60 = monitor