Card Set Information
VTach without a rhythm
PEA - Pulseless electrical activity
(CANNOT give Atropine with these rhythms)
If you have a client with tachycardia, HR 200, other vitals ok, what do you do first?
Get a 12 lead EKG
If client C/O chest pain and vitals are w/in range, what's your 1st step?
Get a 12 lead EKG
Client C/O epigastric pain, vitals are ok. What is your next test?
12 lead EKG
How do you obtain an appropriate sized OPA?
Measure from corner of mouth to angle of mandible
Client has bradycardia, what is correct Dopamine dose?
Client has bradycardia and poor vitals, first drug is?
Atropine 0.5 g
Minimum systolic BP to stop CPR
90 mm hg
How fast should chest compressions be?
AT LEAST 100 per minute
Client has VTach. What do you do?
Initiate CPR because there is a small amount of blood flow to heart
How can you keep quality of chest compressions up?
Switch compressors every 2 minutes or 5 cycles
If the AED doesn't promptly analyze the rhythm, what do you do?
What is a fatal mistake often made in CPR
Prolonged interruptions in chest compressions
Longest interval you can go between chest compressions
No more than 10 seconds
WHat do you do while AED is charging?
If there is electrical activity but no pulse, what do you do?
Client suddenly loses consciousness and isn't breathing. You aren't sure if they have a pulse. What do you do?
Client is non responsive, not breathing, no pulse. What do you do?
What don't you want to do while inserting ET tube?
Apply cricoid pressure
If client has refractory VF, what do you give?
First dose of Amiodarone - 300 mg
2nd dose of Adenosine for Refractory SVT
What is treatment of choice for asystole?
Recommended dose of aspirin for suspected acute coronary syndrome
160 mg - 325 mg
How can you get drugs quickly into system during compressions?
IV/IO infused rapidly
After defib with VF of pulseless VT what do you do
WHat allows for more rapid defibrillation
Hands free pads
Client has electrical activity, no pulse and compressions have begun. What is next step
Epinephrine 1 mg
Preferred method of access for epinephrine
Post cardiac arrest, ROSC, when is therapeutic hypothermia contraindicated?
Client responds to verbal commands
Target body temp for Hypothermia
32-34 degrees C
What is recommended IV bolus if hypotensive post arrest
Client is pulseless, CPR and ventilation have begun. What is next step?
Insert iv or io
Primary purpose of MET/RRT
Improving outcomes by identifying and treating early clinical deterioration
What can high levels of O2 cause
How long do you check for carotid pulse
No more than 5-10 seconds
After 2 minutes of CPR, you see an organized rhythm. What do you do next?
Have team member palpate carotid pulse
What does PetcO2 and capnography do?
Allows for monitoring of CPR
What should PetcO2 show if CPR is being done effectively
Ususal post arrest target for PetcO2 with pulse is?
35-40 mm Hg
What is most reliable way to check for correct ETT placement
Coninuous waveform capnography
What type of facility should patient go to after ROSC?
Facility with PCI capability
Client has symptoms of stroke and CT scanner is broken, what do you do?
Divert to hospital within 15 minutes away that has a CT
CLient has symptoms of stroke with positive prehospital stroke assessment. What is next step?
Non contrast CT scan
What is first intervention for narrow complex tachycardia
If patient is hypotensive. What could he deteriorate to?
2nd dose of adenosine with Stable narrow complex tachycardia
Why would you stop resuscitative efforts?
Safety threat to the provider
Client has VF for 25 minutes and is now asystole. WHat is next step
Consider stopping after consulting medical control
Treatment for unstable VT
What is 1st treatment after ROSC
Optimizing ventilation and oxygenation
Client has respiratory failure and becomes apneic, pulse is good but drops to 30. Next step?
Simple airway maneuver and assisted ventilation
Strategy for CPR with advanced airway
Compressions without pause, 10 ventilations per minute
Maximum time to withdrawal suction
Ventilation rate for advanced airway
8-10 breaths per minute
Rate of ventilations with a pulse
1 breath every 5-6 seconds
Client has wide complex tachycardia and is hypotensive. What is next step?
No pulse. Torsades appearing. What do you do?
Supraventricular vs. ventricular
Supra - occurs in atrium (Narrow complex)
Venticular - occurs in ventricles (Wide complex)
Regular heart beat where rate is 150-250