Resuscitation I Flashcards
In cases of ___ (or other instances where ___ is the most likely cause of cardiac arrest), ___ becomes much more important than in nonasphyxial arrest.
- Drowning;
- Hypoxia;
- Ventilation;
* -2015 AHA ECC Handbook*
The AHA states that when necessary, healthcare providers may tailor the sequence of CPR rescue actions to fit ___.
- The most likely cause of arrest;
2015 AHA ECC Handbook
Coronary perfusion pressure (CPP) during CPR must meet _(pressure)_ to potentially achieve ROSC. While CPP is not readily measurable during a resuscitation event, CPR quality can be measured with ___.
- 15 mm Hg;
- Capnography;
ROSC is unlikely if PETCO2 is less than ___ during a resuscitation event.
- 10 mm Hg;
The Chest Compression Fraction (CCF) during CPR should be at least _(percent)_ per the AHA.
- 60% (but ideally greater than 80%);
2015 AHA ECC Handbook
Half a squeeze of an adult-sized BVM is equivalent to how many mL of air delivery?
- 500-600 mL;
What does the “D” in ABCDE stand for, according to the AHA?
- Disability;
2015 AHA ECC Handbook
What does the “V” in AVPU stand for, according to the AHA?
- Voice;
2015 AHA ECC Handbook
At what temperature does the AHA declare hypothermia to exist?
- Hypothermia exists when the body temperature drops below 95 degrees Fahrenheit (35 degrees Celsius);
2015 AHA ECC Handbook
What does ECC stand for, with regards to the AHA?
- Emergency Cardiovascular Care;
2015 AHA ECC Handbook
When performing an oropharyngeal suction procedure, do not insert the suction device any further than ___.
- The distance from the tip of the patient’s nose to their earlobe;
The AHA recommends that when performing oropharyngeal or endotracheal suctioning, the catheter be removed with a ___ motion.
- Rotating (or twisting);
2015 AHA ECC Handbook
The AHA recommends that endotracheal suctioning not be performed for any longer than ___.
- 10 seconds;
2015 AHA ECC Handbook
According to the AHA, the laryngeal mask airway is an ___ airway alternative to ET intubation and provides ___ ventilation.
- Advanced;
- Comparable;
* 2015 AHA ECC Handbook*
Excessive ventilation during CPR causes gastric _(other than distention)_, ___ intrathoracic pressure, ___ venous return, ___ cardiac output, and ___ survival.
- Insufflation;
- Increased;
- Decreased;
- Decreased;
- Lowers;
Even when healthcare providers are properly ventilating a patient, chest compressions will produce a low PetCO2, as even the best CPR produces cardiac output and pulmonary blood flow that’s only about ___-___% of normal.
- 25-30;
Which portion of a capnography curve represents PetCO2?
- The highest value;
How should an OPA be sized?
- From the corner of the patient’s mouth to the angle of their jaw;
The most effective way to deliver bag-mask ventilation is the ___ technique.
- Two-person;
The AHA recommends saying, “___” right before delivering a shock.
- Stand clear;
2015 AHA ECC Handbook
The AHA states that healthcare providers can perform a ___ at the same time they are performing a rhythm check.
- Pulse check;
2015 AHA ECC Handbook
During refractory VF/pVT CPR, epinephrine should generally be delivered after the ___ shock, and amiodarone after the ___.
- Second;
- Third;
* 2015 AHA ECC Handbook*
Epinephrine ___ arterial blood pressure and coronary perfusion during CPR via ___ -adrenoceptor agonist effects.
- Increases;
- Alpha-1;
According to the AHA, amiodarone is an antiarrhythmic agent that has been clinically demonstrated to improve the rate of ___ and ___ in _(patient demographic)_ with _(dysrhythmia)_ or _(dysrhythmia)_.
- ROSC;
- Hospital admission;
- Adults;
- Refractory VF;
- Refractory pVT;
* 2015 AHA ECC Handbook*
“Therapeutic Hypothermia” is an outdated term for “___.” The AHA recommends cooling a patient to between ___-___ degrees Celsius for at least ___ hours.
- Targeted Temperature Management;
- 32-36;
- 24;
* 2015 AHA ECC Handbook*
___ is the only intervention that has been shown to improve neurologic recovery after cardiac arrest and ROSC. This therapy should be considered for any patient who remains ___ after ROSC.
- Targeted Temperature Management;
- Comatose;
* 2015 AHA ECC Handbook*
The AHA recommends flushing IO sites with ___-___ mL NS following all medication deliveries.
- 5-10;
Note: Most IV medications should be flushed as well.
2015 AHA ECC Handbook
According to the AHA, when should the airway of a pulseless, apneic patient be opened?
- After the initial round of chest compressions, immediately before the first round of ventilations (hence, not during the simultaneous pulse/breathing check prior to initiating CPR);
2015 AHA ECC Handbook
Trained rescuers are ___ (by the AHA) to simultaneously perform some steps (ie, ___) in an effort to reduce time to first compressions and defibrillation.
- Encouraged;
- Checking for breathing and a pulse at the same time;
* 2015 AHA ECC Handbook*
When assessing a potentially pulseless, apneic patient, check for a pulse for no more than ___ seconds. Check the ___ pulse in an adult, the ___ or ___ pulse in a child, and the ___ pulse in an infant.
- 10;
- Carotid;
- Carotid;
- Femoral;
- Brachial;
* 2015 AHA ECC Handbook*
For two rescuers, the compression-ventilation ratio for infants and children (to the age of puberty) is ___.
- 15:2;
2015 AHA ECC Handbook
Rescue breathing should be provided at a rate of one breath every ___-___ seconds for an adult, and at a rate of one breath every ___-___ seconds for an infant or child.
- 5-6;
- 3-5;
* 2015 AHA ECC Handbook*
If an infant or child who is being provided with adequate oxygenation and ventilation presents with a pulse of less than ___/min and signs of ___, perform _(intervention)_.
- 60;
- Poor perfusion;
- CPR;
* 2015 AHA ECC Handbook*
What does C-A-B stand for, with respect to CPR?
C - Compressions;
A - Open airway;
B - Breathing;
2015 AHA ECC Handbook
When ventilating a patient during CPR, give _(number)_ breaths that make the ___. Release ___; allow for ___ between breaths. Give each breath over _(time)_;
- 2;
- Chest rise;
- Completely;
- Exhalation;
- 1 second;
* 2015 AHA ECC Handbook*
What qualifies a patient as a “child” for CPR purposes?
- Age of 1 year to puberty;
2015 AHA ECC Handbook
What qualifies a patient as an “infant” for CPR purposes?
- Age of less than 1 year, excluding newborns;
2015 AHA ECC Handbook
Are “adolescents” considered “children” for CPR purposes?
- No (adults and adolescents should receive the same CPR procedures);
2015 AHA ECC Handbook
What is the prescribed compression-ventilation ratio for adult CPR without an advanced airway?
- 30:2 (for both one or two-plus rescuers);
2015 AHA ECC Handbook
What is the prescribed compression:ventilation ratio for child and infant CPR without an advanced airway?
- One Rescuer: 30:2;
- Two or more rescuers: 15:2;
* 2015 AHA ECC Handbook*
As of 2015, the AHA states that there is ___ evidence to support the ___ administration of Atropine as a ___ for emergency endotracheal intubation.
- No;
- Routine
- Premedication;
* 2015 AHA ECC Handbook*
What does ECPR stand for, with respect to CPR?
- Extracorporeal Cardiopulmonary Resuscitation;
What does the “E” in ABCDE stand for, according to the AHA?
- Exposure;
2015 AHA ECC Handbook
For children, the most common site for IO access is the ___. In order to access this site, position the leg with slight _(two words)_. Identify the _(landmark)_ just below the ___ joint. The insertion site is the flat part of the ___ about ___ finger width(s) (or ___-___ cm) below and _(direction)_ to this bony prominence, so as to avoid injuring the ___.
- Proximal tibia;
- External rotation;
- Tibial tuberosity;
- Knee;
- Tibia;
- One;
- One-three;
- Medial;
- Growth plate;