Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Q5 ACLS > Arrest > Flashcards

Arrest Flashcards

1
Q

Defib used when?

A

Pulseless Vtach or Vfib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Defib mode?

Starting joules?

A

Immedate (not synchronized)

200 j (max amount unit can deliver)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Airway mgmt: 1st intervention?

Air vol delivered?

BLS delivered how?

A

BVM (bag-valve-mask)

500 to 800 mls

GENTLE inflation w/ Synch’d 30:2 delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Airway mgmt: Advanced?

Max vent interruption?

Tube size?

Delivered how?

A

Trach intubation preceded by pre-oxygenation

30 sec

8mm

8-10 bpm w/ asynch’d compressions (don’t interrupt compressions)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Trach intubation placement confirmed how? (2)

Monitored how*?

A

Auscultation
Capnography

Continuous waveform

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Capnography (PETCO2) End Tidal goal during compressions*?

If less than goal, CPR is what*?

A

≥ 10 mmHg

Ineffective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Pulseless VT/Vf 1° mgmt steps ? (3)

Goal of mgmt*?

A

1) Establish pulselessness
2) Start CPR:BVM of 30:2
3) Defib in single shocks (biphasic 200j)

Defib (shock and return imm to CPR w/o waiting to see result of shock)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Pulseless VT/Vf 2° mgmt steps? (3)

Sequencing? (5)

A

1) Establish anticubital peripheral IV (or IO)
2) Pre-O2 then intubate
3) Check placement

1) 2 min CPR
2) Assess rhythm/pulse
3) Shock if nec
4) Return to CPR
5) Meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Maximum CPR interruption?

A

10 sec

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Perfusion meds in arrest delivered how often?

A

Q 4min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Epi class?

Action?

A

Catecholamine (sympathomimetic)

α1 = Vasoconstriction (primary reason we use this, ↓SA of vascular bed will move blood faster)

β = ↑HR, conduction and contractility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Epi indications?

A

DOC for all types of arrest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Epi dosage: Initial?

Repeat?

Special inst?

A

Initial: 1 mg

Repeat: 1 mg Q 4 min

Give IV push, IO or ETT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Add’l meds for Pulseless Vtach/Vfib?

A

Amiodarone

Mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Amiodarone dosing for Arrest: Initial?

Repeat?

Special inst?

Max?

Continuous infusion?

A

Initial: 300 mg

Repeat: 150 mg Q 4 min

Dilute to 20 mls, IV push

Max: 2.2 gm/24 hrs

Infuse: 1 mg/min x 6 hrs, 0.5 mg/min x 18 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Magnesium indications?

A

DOC for Torasde

2nd line for dysrhy not responding to Amiodarone

17
Q

Magnesium dosing for Arrest: Initial?

Repeat?

Special inst?

Max?

A

Initial: 1 to 2 gm

Repeat: 1 gm if 1st dose was 1 gm Q 4 min

Dilute in 10 mls over 2 min (NO IV PUSH)

Max: 2 gm

18
Q

Rule for drug use in Arrest?

A

One drug at a time, push thru max dose

Then move to next drug if needed

19
Q

Summary: Pulseless VT/Vfib tx?

A

Defib 200 j
Epi 1 mg
Amiodarone 300 mg/ 150 mg
Mg 2 gm

20
Q

Primary Electrical Activity (PEA) is?

tx? (3)

A

Rhythm that should produce a pulse but isn’t

1) CPR, BMV
2) Establish IV and intubate
3) Epi
NO ELECTRICAL

21
Q

Causes of PEA (stroke volume problems): 5 Hs?

A 
Hypovolemia (start here -> fill the tank)
Hypoxia
Hydrogen ion (acidosis)
Hyper/HypoK+
Hypothermia
22
Q

Causes of PEA: 5 Ts?

A 
Toxins
Tamponade
Tension pneumo
Thrombosis, coronary
Thrombosis, pulmonary
23
Q

Asystole mgmt steps? (3)

A

1) CPR, BVM
2) IV, intubate
3) Epi
NO ELECTRICAL

24
Q

CPR steps*? (6)

A

1) ≥ 100 bpm w/ ≥ 2 in
2) Allow for complete recoil
3) Rotate compressors every 2 min
4) < 10 sec interruption
5) Non-advanced 30:2
6) Advanced asynch compression/slow gentle vents 8-10/min

25
Q

ROSC mgmt steps*? (3)

A

1) Support O2/vent
2) Support BP w/ fluids
3) Support BP w/ pressors

26
Q

ROSC O2/Vent support*? (3)

A

Waveform capnography
Goal PETCO2 35-40 mmHg
Goal O2 94%

27
Q

ROSC BP fluid support*? (2)

A

Goal SBP 90 mmHg

Bolus 1-2 L NS if < 90

28
Q

ROSC BP pressor support*? (2)

A

1° Norepi

2° DA

29
Q

Noreip action?

A

α - vasoconstriction

30
Q

Norepi indications*?

A

SBP < 70 mmHg

31
Q

DA action*?

A

Rate-related:
1-5 ug/kg/min = dilation of gut
5-10 ug/kg/min = β contractility
> 10 = α vasocontriction

32
Q

DA indication*?

A

ROSC support if

SBP 70 - 100

33
Q

Use of hypothermia?

A

For ROSC comatose pt

Not for conscious pts

Q5 ACLS (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions