SA med CPR cards CSV

Question 1

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~What does CPA stand for?

Answer 1

Cardiopulmonary Arrest

Question 2

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~What does CPR stand for?

Answer 2

Cardiopulmonary Resuscitation

Question 3

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~What does ROSC stand for?

Answer 3

Return Of Spontaneous Circulation (goal of CPR)

Question 4

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~What does BLS stand for?

Answer 4

Basic Life Support

Question 5

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~What does ALS stand for?

Answer 5

Advanced Life support

Question 6

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~What is Cardiopulmonary Arrest?

Answer 6

Complete cessation of ventilation & circulation

Question 7

~

~What are indications for CPR?

Answer 7

Respiratory

Question 8

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~What is the sequence of events during CPA?

Answer 8

Absence of tissue perfusion —> no O2 or glucose to tissues—>hypoxic - ischemic brain injury —> global hypoxia —> Cell Death —> Multiple organ dysfunction —> Irreversible injury —> Death

Question 9

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~What is the biggest concern with CPA?

Answer 9

hypoxic/ischemic brain injury

Question 10

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~What is the overall survival for animals that undergo CPA?

Answer 10

6% survival

Question 11

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~Under what circumstances does the survival % go up for animals that undergo CPA?

Answer 11

Anesthetic CPA

Question 12

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~What are the odds of survival for an animal that undergoes Anesthetic CPA?

Answer 12

45-50%

Question 13

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~What causes anesthetic CPA?

Answer 13

Hypoxemia

Question 14

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~What are negative prognostic indicators for animals undergoing CPA?

Answer 14

DOA

Question 15

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~Are there evidence based guidlines and standards for CPR in Vet Med?

Answer 15

YES! historically no

Question 16

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~What are the 5 stages of CPR in Vet med?

Answer 16

Recognition & prevention/preparedness

Question 17

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~What are important factors to successful CPR?

Answer 17

Good Leadership

Question 18

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~What are the most important pieces of monitoring equipment on a crash cart?

Answer 18

ECG

Question 19

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~Why is a defibrillator nice to have but not necessary?

Answer 19

Most common arrest rhythm in vet med is asystole NOT ventricular fibrillation/flutter (thats humans)

Question 20

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~What is the best way to train your staff in CPR?

Answer 20

In house simulations on dummies or mock scenarios

Question 21

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~What should be done after every CPR case?

Answer 21

Debrief with staff and talk about what worked and what didn’t

Question 22

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~How many people should be in a CPR team?

Answer 22

Ideally 3:

Question 23

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~What is the “chain of survival” concept?

Answer 23

Early Recognition of CPA

Question 24

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~If you suspect a pt is in CPA what should you do?

Answer 24

Start CPR right away!

Question 25

# ~ ~What will happen if you do CPR on an animal that really isn't in CPA?

Answer 25

They will “wake up” and possibly bite you

Question 26

# ~ ~Why should you not delay CPR to hook up or rely on monitors to tell you if a pt is in CPA?

Answer 26

Heat can give off electrical signals with out beating. Auscultation or palpation is best bet to tell

Question 27

# ~ ~What is the order of events in CPR for Vet Med?

Answer 27

ABC:

Question 28

# ~ ~What is the bottom line in CPR?

Answer 28

Avoid chaos

Question 29

# ~ ~What are the 4 components of basic life support (BLS)?

Answer 29

Recogition of CPA

Question 30

# ~ ~What is the goal of CPR?

Answer 30

Get O2 to brain and heart until ROSC occurs

Question 31

# ~ ~How many seconds should you take to assess a pt before beginning CPR?

Answer 31

5-10

Question 32

# ~ ~What should be preformed together with BLS?

Answer 32

ALS

Question 33

# ~ ~How should the animal be placed when doing chest compressions?

Answer 33

In Lateral Recumbency (right if think going to open CPR) or Dorsal recumbency

Question 34

# ~ ~What is the only breed we really do CPR on in dorsal recumbency?

Answer 34

BullDogs or other barrel chested breeds

Question 35

# ~ ~How far should you compress the chest during CPR?

Answer 35

1/2 -1/3 the width & allow to recoil completely before you compress again

Question 36

# ~ ~What are the 2 pump theories of CPR?

Answer 36

Cardiac

Question 37

# ~ ~What animals can you do cardiac pumping in?

Answer 37

Small dogs, puppies, cats or Thin (Keel) chested dogs

Question 38

# ~ ~Where do you place your hand in the thoracic pump CPR?

Answer 38

widest portion of chest when in lateral recumbency (caudel to actual heart)

Question 39

# ~ ~Where do you place your hand in the cardiac pump CPR?

Answer 39

Over the heart

Question 40

# ~ ~What rate should you preform chest compressions at?

Answer 40

100-120 beats per minute

Question 41

# ~ ~What song can you sing in your head to help you keep time?

Answer 41

Another one bites the dust or staying alive

Question 42

# ~ ~When doing chest compressions on a dog in lateral recumbency where should the spine be?

Answer 42

Against you so they dont slide off the table

Question 43

# ~ ~What is important in securing an airway or ventilation?

Answer 43

SECURE THE TUBE!

Question 44

# ~ ~How can you give IPPV with out and ET tube?

Answer 44

Mouth to snout

Question 45

# ~ ~If you are doing CPR on your own how many compressions to breaths to you give?

Answer 45

30:2

Question 46

# ~ ~What is interposed abdominal compressions?

Answer 46

When you let chest recoil some one else pushes on the abdomen to return the blood to thorax

Question 47

# ~ ~What are the pros of interposed abdominal compressions?

Answer 47

May increase venous return

Question 48

# ~ ~What are the cons of interposed abdominal compressions?

Answer 48

Minimal Abdominal trauma (there dead anyway might as well go for it)

Question 49

# ~ ~What is the CPR cycle?

Answer 49

2 Minutes of continuous CPR then rotate positions

Question 50

# ~ ~When do you administer ALS?

Answer 50

After BLS and onward to ROSC

Question 51

# ~ ~What tx are included in ALS?

Answer 51

Catheter (IV best)

Question 52

# ~ ~Do all CPA patients need fluids?

Answer 52

No

Question 53

# ~ ~What is the best location for a catheter in a CPR patient (1-4)?

Answer 53

1. IV

Question 54

# ~ ~What is the caveat when giving rescue meds IT?

Answer 54

Must give 3-5x the regular dose

Question 55

# ~ ~What is the caveat when giving rescue meds IP?

Answer 55

Takes a long time to absorb, last resort

Question 56

# ~ ~When should you give rescue meds inter cardiac?

Answer 56

NEVER! Big No No

Question 57

# ~ ~Best place for IO catheter?

Answer 57

Femur! In-between neck & greater trochanter

Question 58

# ~ ~What bones can you place and IO catheter in?

Answer 58

Femur

Question 59

# ~ ~When do administer rescue meds (drugs) during CPR?

Answer 59

Every other BLS cycle

Question 60

# ~ ~What are the two primary drugs used in CPR?

Answer 60

Epinephrine

Question 61

# ~ ~Why do we give Epinephrine during CPR?

Answer 61

Vasoconstriction so when ROSC occurs it increases CO

Question 62

# ~ ~Do we use the high or low does of Epinephrine during CPR?

Answer 62

LOW DOSE ONLY

Question 63

# ~ ~Why do we give Atropine during CPR?

Answer 63

When ROSC occurs it will increase the heart rate increasing CO

Question 64

# ~ ~What other drugs can be given during CPR & why?

Answer 64

Vasopressin - vasoconstriction

Question 65

# ~ ~When are fluids indicated in CPR?

Answer 65

Active hemorrhage

Question 66

# ~ ~What heart rhythm is the ONLY on you use a defibrillator on?

Answer 66

Ventricular Fibrillation/flutter

Question 67

# ~ ~What is the goal of defibrillation?

Answer 67

Asystole

Question 68

# ~ ~How many shocks per round of BLS?

Answer 68

1 only

Question 69

# ~ ~When monitoring the ECG what are the most common arrhythmias from most to least?

Answer 69

Asystole

Question 70

# ~ ~When should you assess ECG?

Answer 70

During rotation of 2min cycle or at direction of leader

Question 71

# ~ ~Should you monitor BP during CPR?

Answer 71

NO its not true anyway

Question 72

# ~ ~What should you do instead of monitoring BP?

Answer 72

Someone monitor femoral pulse

Question 73

# ~ ~What can monitoring femoral pulse tell you during CPR?

Answer 73

If you are compressing the chest enough to move blood (you should be creating a pulse with each compression)

Question 74

# ~ ~Why is ETCO2 such a good monitor to have during CPR?

Answer 74

First indicator of ROSC

Question 75

# ~ ~What will ETCO2 be during CPR before ROSC?After?

Answer 75

Very Low 2-5 then once ROSC it shoots up!

Question 76

# ~ ~Are taking an ABG or Electrolytes indicated during CPA? After ROSC?

Answer 76

CPA: NO

Question 77

# ~ ~What are the indications for open chest CPR?

Answer 77

Thoracic wall defect/trauma

Question 78

# ~ ~What additional equipment is needed to preform open chest CPR?

Answer 78

Clippers

Question 79

# ~ ~Do you need to sterilely prep the pt to open the chest for CPR?

Answer 79

No they are dead

Question 80

# ~ ~What are the steps to open chest CPR?

Answer 80

Rt Lat Recumbency

Question 81

# ~ ~Why should you stay above the chondral costal jxn when entering the thorax for open CPR?

Answer 81

Don’t what to cut the internal thoracic artery and cause them to bleed out

Question 82

# ~ ~What are some complications that can occur with open chest CPR?

Answer 82

Lung Laceration

Question 83

# ~ ~How can you try to prevent lung laceration when entering the thoracic cavity for open CPR?

Answer 83

Have IPPV person pause and allow the lungs to deflate

Question 84

# ~ ~What should you do after ROSC?

Answer 84

Monitor!

Question 85

# ~ ~What should you monitor after ROSC?

Answer 85

ECG

Question 86

# ~ ~What may you need if ROSC happens during open CPR?

Answer 86

Anesthesia (propofol, iso)

Question 87

# ~ ~Why is debriefing after CPR so important?

Answer 87

Improves team work