Need to Know - Lecture notes

Need to Know: 1. If not breathing = bag pt, don’t squeeze whole bag into pt bc can cause pneumothorax 2. Femoral and carotid – check during resp arrest 3. Opioid overdose = administer CPR and then Narcan (0.4 every 4 min) 4. Electrocution - #1 rhythm is V-Fib 5. Electrolyte imbalances can cause V-Tach (Hypomag, hypocal) 6. Peaked T waves = hyperkalemia; Torsade’s = hypo-magnesium 7. Reverse agent for opioids = Narcan 8. Hyper-resonance = tension pneumothorax; percussing hollow area 9. Aggressive BLS before meds 10. Check pulse no longer than 10 seconds 11. 100-120 compressions per minute; 30compressions to 2min 12. 120-200 joules 13. After ROSC core temp needs to be 32-36 C for 24 hours 14. TTM (to maintain neurovascular status) = Cold IV fluids, endo vascular cath, cooling blankets a. Not cool mist 15. After one ventilation, give continuous compressions every 6 seconds BLS: 1. The code team has arrived to take over resuscitative efforts. Among the members of the BLS team, whose role is it to communicate to the code team the patient's status and the care already provided? Team leader 2. You and your colleagues are performing CPR on a 6-year-old child. What is the compression-to-ventilation ratio during multiple-provider CPR? 15:2 3. You are working in an OB/GYN office when your patient, Mrs. Tribble, suddenly goes into cardiac arrest. While preparing the AED, your colleague reminds you that Mrs. Tribble is 28 weeks pregnant. Which statement is true regarding the use of an AED on a pregnant patient? AED use is safe for pregnant patients 4. You suspect that an unresponsive patient has sustained a neck injury. Which technique should you use to open the patient's airway? Modified jaw-thrust maneuver 5. You and your co-worker Jake are operating a BVM during multiple-provider CPR for an adult. You manage the airway while Jake delivers ventilations. Which statement correctly describes the appropriate technique for operating the BVM? Seal the mask with two hands using the E-C technique 6. You are preparing to deliver ventilations to an adult patient experiencing respiratory arrest. You should give 1 ventilation every: 5 to 6 seconds 7. You are providing care for Mrs. Bove, who has an endotracheal tube in place. How does this affect compressions and ventilations? The team should provide ventilations at a rate of 1 ventilation every 6 seconds without pausing compressions. 8. You are alone performing high-quality CPR when a second provider arrives to take over compressions. When switching roles, you should minimize interruptions in chest compressions to less than how many seconds? 10 seconds 9. While orienting a new medical assistant to the facility, you find a patient who is unresponsive in the exam room. You yell to the medical assistant, "Go get the AED!" Which response by the medical assistant demonstrates closed-loop communication? "I'll go get the AED." 10. A well-organized team response when performing high-quality CPR includes ensuring that providers switch off performing compressions every _____ minutes. 2 11. The systematic and continuous approach to providing emergent patient care includes which three elements? Assess, Recognize, Care 12. You are providing high-quality CPR on a 6-year-old patient who weighs 44 pounds. The AED arrives. It does not have a pediatric setting and includes only adult AED pads. What should you do? Use the adult AED pads. 13. What is a reason you would choose to perform chest thrusts instead of abdominal thrusts for an adult with an obstructed airway? The patient is in a wheelchair. 14. You and two nurses have been performing CPR on a 72-year-old patient, Ben Phillips. When Mr. Phillips shows signs of ROSC, where should you perform the pulse check? At the carotid or femoral artery 15. You and another provider are caring for a patient who is in cardiac arrest. You suspect that your patient has overdosed on an opioid. When should you administer intranasal naloxone? After initiating CPR 16. You enter Ms. Evers's room and notice her lunch splattered on the floor. She is slumped over the bedside table and does not appear to be breathing. You perform a visual survey and determine that the scene is safe. Which is the next appropriate action? Check for responsiveness. 17. You are alone caring for a 4-month-old infant who has gone into cardiac arrest. Which is the most effective CPR technique to perform until help arrives? Standing to the side of the infant, provide chest compressions using the two-finger technique and deliver ventilations with a pocket mask. 18. How is a child defined in terms of CPR care? Someone from the age of 1 to the onset of puberty 19. You and your colleagues have been providing high-quality CPR for and using the AED on Mr. Sauer. While providing ventilations, you notice that Mr. Sauer moves and appears to be breathing. What is the correct course of action? Stop CPR, check for breathing and a pulse and monitor Mr. Sauer until the advanced cardiac life support team takes over. 20. You are providing compressions on a 6-month-old who weighs 17 pounds. Which compression depth is appropriate for this patient? About 1½ inches 21. You are alone and caring for a 9-month-old infant with an obstructed airway who becomes unresponsive. Which action should you perform first? Provide 30 chest compressions. 22. You perform a rapid assessment and determine that your patient is experiencing cardiac arrest. On the basis of your assessment findings, you begin CPR to improve the patient's chances of survival. Which term refers to clearly and rationally identifying the connection between information and actions? Critical thinking 23. Upon entering Mr. Cohen's room, you find him on the ground, unresponsive. After immediately initiating the emergency response system, what is your next action according to the Adult In-Hospital Cardiac Chain of Survival? Early CPR 24. During a resuscitation, the team leader assigns team roles and tasks to each member. You recognize that a task has been overlooked. Which is the most appropriate action? Alert the team leader immediately and identify for them what task has been overlooked. 25. A 7-year-old patient goes into sudden cardiac arrest. You initiate CPR and correctly perform chest compressions at which rate? 100 to 120 compressions per minute