Advanced Cardiac Life Support
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| ROSC | Return of Spontaneous Circulation
🗑
|
||||
| ACS | Acute Coronary Syndrome
🗑
|
||||
| SCA | Sudden Cardiac Arrest
🗑
|
||||
| Most Common Cause of SCA | Ventricular Fibrillation (VF)
🗑
|
||||
| AED | Automated External Defibrillator
🗑
|
||||
| Chain of Survival | 1-Early Access 2-Early CPR 3-Early Defibrillation 4-Early Advanced Care
🗑
|
||||
| Early Access | Activation of 911/EMS
🗑
|
||||
| Early CPR | Circulation immediately
🗑
|
||||
| Early Defibrillation | Within 3 to 5 minutes
🗑
|
||||
| Early Advanced Care | Trained Healthcare Professionals
🗑
|
||||
| Compression Depth | 1.5 to 2 inches
🗑
|
||||
| Oxygen Devices | Wall or Cylinder, Nasal Cannula, Face Mask, Venturi Mask
🗑
|
||||
| NC 1L/min | 21-24%
🗑
|
||||
| NC 2L/min | 25-28%
🗑
|
||||
| NC 3L/min | 29-32%
🗑
|
||||
| NC 4L/min | 33-36%
🗑
|
||||
| NC 5L/min | 37-40%
🗑
|
||||
| NC 6L/min | 41-44%
🗑
|
||||
| Face Mask 6-10L/min | 35-60%
🗑
|
||||
| NRB 6L/min | 60%
🗑
|
||||
| NRB 7 L/min | 70%
🗑
|
||||
| NRB 8 L/min | 80%
🗑
|
||||
| NRB 9 L/min | 90%
🗑
|
||||
| NRB 10-15 L/min | 95-100%
🗑
|
||||
| Venturi Mask 4-8 L/min | 24-40%
🗑
|
||||
| Venturi mask 10-12 L/min | 40-50%
🗑
|
||||
| NC provides up to ___ O2 | 44%
🗑
|
||||
| FM provides up to ___ O2 | 60%
🗑
|
||||
| NRB provides up to ___ O2 | 100%
🗑
|
||||
| VM O2 % Range | 24 to 50%
🗑
|
||||
| Mask for COPD & CO2 Retainers | Venturi Mask
🗑
|
||||
| LMA | Laryngeal Mask Airway
🗑
|
||||
| ETT | Endotracheal Tube
🗑
|
||||
| OPA | Oropharyngeal Airway
🗑
|
||||
| NPA | Nasopharyngeal Airway
🗑
|
||||
| Adult Chest Compression Rate | 100 per minute
🗑
|
||||
| Adult Ventilation Rate | Every 6 to 8 seconds 8-10 per minute)
🗑
|
||||
| Combitube Complications | Can be fatal
🗑
|
||||
| Combitube Contraindications | 1-Under 16 2-Gag reflex 3-Esophageal disease 4-Caustic ingestion
🗑
|
||||
| Combitube Inflation | 1-Proximal blue 100ml 2-Distal white 15ml
🗑
|
||||
| Lubrication of LMA | Posterior surface only
🗑
|
||||
| PEEP | Positive End-Expiratory Pressure
🗑
|
||||
| ETT Drug Mnemonic | NAVEL
🗑
|
||||
| NAVEL | Naloxone, Atropine, Vasopressin, Epinephrine, and Lidocaine
🗑
|
||||
| ETT Dose to IV/IO Dose Ration | 2 to 2.5 times higher
🗑
|
||||
| Quantitative End-Tidal CO2 Monitor | Capnometer
🗑
|
||||
| ECG Rhythms in CA | VF, PVT, PEA, Asystole
🗑
|
||||
| VF Rate | 150 to 500 BPM
🗑
|
||||
| VF Rhythm | Indeterminate
🗑
|
||||
| Fine VF amplitude | 2 to <5 mm
🗑
|
||||
| Medium or Moderate VF amplitude | 5 to <10 mm
🗑
|
||||
| Coarse VF amplitude | 10 to <15 mm
🗑
|
||||
| Very Course VF amplitude | >15 mm
🗑
|
||||
| Fine VF difficult to differentiate from ___ . | asystole
🗑
|
||||
| PEA fka | EMD (Electromechanical Dissociation)
🗑
|
||||
| Fast PEA | >100 per minute (noncardiac)
🗑
|
||||
| Slow PEA | <60 per minute (cardiac)
🗑
|
||||
| Narrow PEA | QRS <0.10 second (noncardiac)
🗑
|
||||
| Wide PEA | QRS >0.12 second (cardiac)
🗑
|
||||
| Cause of PEA | H's & T's
🗑
|
||||
| H's | Hypovolemia, Hypoxia, Hydrogen ion (acidosis), Hypo/Hyperkalemia, Hypoglycemia, Hypothermia
🗑
|
||||
| T's | Toxins, Tamponade, Tension Pneumothorax, Thrombosis (ACS or PE), Trauma
🗑
|
||||
| Asystole Rate | <6 complexes per minute
🗑
|
||||
| SVT Rate | >100 per minute
🗑
|
||||
| Non-arrest ECG Rhythms | SVT, ST, AFib, AF, AMSVT
🗑
|
||||
| Ventricular Tachyarrhythmias | Monomorphic VT, Polymorphic VT, Torsades de Pointes
🗑
|
||||
| SVT Etiologies | Exercise, Fever, Hypovolemia, Adrenergic stimulation, Anxiety, Hyperthyroidism
🗑
|
||||
| AFib Rate | Various
🗑
|
||||
| AF Rate | 220 to 350 per minute
🗑
|
||||
| AFib & AF Etiologies | ACS, CAD, CHF, MVD, TVD, Hypoxia, PE, Drugs, HTN, Hyperthyroidism
🗑
|
||||
| AMSVT Rate | 150 to 250 per minute
🗑
|
||||
| AMSVT Etiologies (Healthy) | Caffeine, Hypoxia, Cigarettes, Stress, Anxiety, Sleep Deprivation, Numerous Medications
🗑
|
||||
| AMSVT Etiologies (Unhealthy) | CAD, COPD, CHF
🗑
|
||||
| MVT Rate | 100 to 250 per minute
🗑
|
||||
| Nonsustained VT | <30 secs...No intervention
🗑
|
||||
| MVT Etiologies | Ischemia, PVC's, Drugs
🗑
|
||||
| PVT Rate | 120 to 250 per minute
🗑
|
||||
| PVT Etiologies | Ischemis, PVC's, Drugs, Genetics
🗑
|
||||
| TDP Characteristics | Long QT, R-on-T phenomenon, Spindle-Node Pattern
🗑
|
||||
| TDP Rate | 150 to 250 complexes/min
🗑
|
||||
| SB Rate | <60 per minute
🗑
|
||||
| SB PR interval | <0.20 sec
🗑
|
||||
| SB Etiolgies | Vasovagal, Vomiting, Valsalva, Rectal Stimuli, Carotid sinus pressure, ACS, Drugs, Inferior MI's
🗑
|
||||
| 1 AVB Rate | Brady or Tachy
🗑
|
||||
| 1 AVB PR interval | Fixed >0.20 sec, P->QRS
🗑
|
||||
| 1 AVB Etiologies | Drugs, Vasovagal, AMI's (RCA)
🗑
|
||||
| 2 AVB Mbtz I Wenckebach PR interval | Progressive Lengthening
🗑
|
||||
| 2 AVB Mbtz II Atrial Rate | 60 to 100 per minute
🗑
|
||||
| 2 AVB Mbtz I Wenckebach Etiologies | BB, CCB, Dig, Vasovagal, ACS (RCA)
🗑
|
||||
| 2 AVB Mbtz II Ventricular Rate | Slower than Atrial Rate
🗑
|
||||
| 2 AVB Mbtz II PR interval | Fixed
🗑
|
||||
| 2 AVB Mbtz II Etiologies | ACS (LCA)
🗑
|
||||
| 2 AVB Mbtz II Normal QRS | High Nodal or Nodal Block
🗑
|
||||
| 2 AVB Mbtz II Wide QRS | Infranodal Block
🗑
|
||||
| 3 AVB (Complete) Areas | AV Node, Bundle of His, Bundle Branches
🗑
|
||||
| 3 AVB (Complete) Rate | At 60-100...V Varies by Escape Beats
🗑
|
||||
| 3 AVB Rate | 20 to 40 per minute
🗑
|
||||
| AV Dissociation Rate | 40 to 55 per minute
🗑
|
||||
| 3 AVB (Complete) P waves | Typical in Size and Shape
🗑
|
||||
| 3 AVB (Complete) Etiologies | ACS (LCA), especially LAD and Branches
🗑
|
||||
| Maximus acceptable shock delay | 20 to 30 seconds
🗑
|
||||
| Do you see VF or PVT? | Immediately deliver shock
🗑
|
||||
| Manual biphasic device Joules | 150 to 200 J
🗑
|
||||
| Monophasic dvice Joules | 360 J
🗑
|
||||
| White monitor lead placement | White to Right (below clavicle)
🗑
|
||||
| Red montior lead placement | Red to Ribs (L midaxillary line/apex)
🗑
|
||||
| Lead left monito lead placement | Lead Left to Left Shoulder (lateral L clavicle)
🗑
|
||||
| Before each shock | Clear yourself and your team
🗑
|
||||
| "One, | I am clear."
🗑
|
||||
| "Two, | You are clear."
🗑
|
||||
| "Three, | Everybody is clear."
🗑
|
||||
| AED waveform | Mostly Biphasic
🗑
|
||||
| ___ defibrillation increases patient's chance of ___ | Early, survival
🗑
|
||||
| Top priorities in CA | High-quality CPR and Early Defibrillation
🗑
|
||||
| Importance of Drug Therapy in CA is ___ | Secondary to Top Priorities
🗑
|
||||
| Advanced airway insertion in CA is ___ | Secondary to Top Priorities
🗑
|
||||
| Absorption of ETT drugs is ___ | Unpredictable
🗑
|
||||
| Drug administration route priority: | IV - IO - ETT
🗑
|
||||
| CVP with fibrinolytic therapy is ___ | Contraindicated
🗑
|
||||
| Interrupt CPR to get IV access? | No
🗑
|
||||
| Time for IV drugs to reach central circulation: | 1 to 2 minutes
🗑
|
||||
| After IV drug administration | (1) Give 20 mL bolus and (2) Elevate extremity 10 to 20 seconds
🗑
|
||||
| Maximus time to get IO access | 30 to 60 seconds
🗑
|
||||
| Three IO accesses | (1) IO needle w stylet, (2) Butterfly, and (3) Hypodermic
🗑
|
||||
| Dilute ETT drugs with ___ | 5-10 mL H20 or NS
🗑
|
||||
| Ideal veins for CA | Antecubital
🗑
|
||||
| Radial-side veins (3) | Superficial radial v., median cephalic v., and cephalic vein
🗑
|
||||
| Ulnar-side veins (4) | Superficial ulnar vv., median basilic v., bifurctes to median cephalic and median basilic vv.
🗑
|
||||
| Basilic vein goes to ___ | Brachial v., then axillary v.
🗑
|
||||
| Cephalic vein goes ___ | Into pectoralis and deltoid mm. to axillary v.
🗑
|
||||
| Cephalic vein is ___ for CVP | unsuitable
🗑
|
||||
| IV access after CA stabilization | Replace IV with aseptic technique
🗑
|
||||
| KVO rate | >= to 10 mL/h
🗑
|
||||
| Local complications of IV access | (1) hematoma, (2) cellulities, (3) thrombosis, (4) phlebitis
🗑
|
||||
| Systemic complications of IV access | (1) sepsis, (2) pulmonary thromboembolism, (3) air embolism, (4) catheter fragment embolism
🗑
|
||||
| IO access is suitable for ___ | all agegroups
🗑
|
||||
| IO site for young children: | Proximal Tibia (below the growth plate)
🗑
|
||||
| IO site for older children and adults: | (1) sternum, (2) distal tibia above the medial malleolus, (3) lateral malleolus, (4) medial malleolus, (5) distal radius, (6) distal ulna, (7) distal femur, and (8) ASIS
🗑
|
||||
| Flush after IO drugs with ___ | 5-10 mL NS
🗑
|
||||
| Always use ___ ___ | Universal Precautions
🗑
|
||||
| Hand placement in IO access | Never behind the needle direction
🗑
|
||||
| ___, don't ___, the IO needle | Twist, don't Push
🗑
|
||||
| Replace IO with ___ | IV access ASAP
🗑
|
||||
| Time of IO access: | <24 h
🗑
|
||||
| RVI presents with | Excess parasympathetic tone
🗑
|
||||
| RVI | Right Ventricular Infarction
🗑
|
||||
| RVI signs: | Bradycardia and Hypotension
🗑
|
||||
| RVI usually due to: | Hypovolemia
🗑
|
||||
| RVI primary treatment | Careful 250-500 mL NS bolus
🗑
|
||||
| RVI secondary treatment | 1-2 L NS
🗑
|
||||
| IMI | Inferior Myocardial Infarction
🗑
|
||||
| IMI presents with (3) | (1) symptomatic 2 or 3 AV block with JR 40-60 BPM, (2) Excess vagal tone, and (3) AV node ischemia
🗑
|
||||
| IMI treatment (symptomatic): | Bradycardic alogorithm (A.E.D.) and Prepare for TCP
🗑
|
||||
| IMI treatment (asymptomatic): | Monitor
🗑
|
||||
| IMI usually involves which artery? | RCA
🗑
|
||||
| Fibrinolytic Checklist, Step 1a | Chest pain >15 m and <12 h?
🗑
|
||||
| Fibrinolytic Checklist, Step 1b | ECG STEMI or new LBBB?
🗑
|
||||
| Contraindications to Fibrinolytics (1) | SBP > 180 (Tufts)
🗑
|
||||
| Contraindications to Fibrinolytics (2) | DBP > 110 (Tits)
🗑
|
||||
| Contraindications to Fibrinolytics (3) | RABP vs LABP > 15 mm Hg difference (Toll)
🗑
|
||||
| Contraindications to Fibrinolytics (4) | Hx of CNS disease (Brain in car)
🗑
|
||||
| Contraindications to Fibrinolytics (5) | Closed head or facial trauma <3 mos (3 hands to head)
🗑
|
||||
| Contraindications to Fibrinolytics (6) | Major Trauma, Surgery, GI/GU bleed < 6 mos (Gun shooting by 6 monks)
🗑
|
||||
| Contraindications to Fibrinolytics (7) | Bleeding or Clotting problems or Blood Thinners (Dice falling out of nose)
🗑
|
||||
| Contraindications to Fibrinolytics (8) | CPR > 10 min (CPR with Skate Toes)
🗑
|
||||
| Contraindications to Fibrinolytics (9) | Pregnant Female (Swollen Cat)
🗑
|
||||
| Contraindications to Fibrinolytics (10) | Serious Systemic disease
🗑
|
||||
| Fibrinolytic Checklist, Step 2 | Any Contraindications?
🗑
|
||||
| Fibrinolytic Checklist, Step 3 (1) | HR >= 100 AND SBP < 100?
🗑
|
||||
| Fibrinolytic Checklist, Step 3 (2) | Pulmonary Edama (rales)?
🗑
|
||||
| Fibrinolytic Checklist, Step 3 (3) | Signs of Shock (cool, clammy)?
🗑
|
||||
| Fibrinolytic Checklist, Step 3 (4) | Contraindications to Fibrinolytic Therapy
🗑
|
||||
| If "Yes" to any of Fibrinolytic Checklist, Step 3, then ___ | Transfer to PCI
🗑
|
||||
| PCI | PCI facility (*)
🗑
|
||||
| STEMI | ST Elevation Myocardial Infarction
🗑
|
||||
| Stroke FT Inclusion Criteria (1) | > 18 years of age
🗑
|
||||
| Stroke FT Inclusion Criteria (2) | Clinical stroke with measurable neurological deficit
🗑
|
||||
| Stroke FT Inclusion Criteria (3) | Symptoms <180 min
🗑
|
||||
| Stroke FT Exclusion Criteria (1) | Intracranial Hemorrage on pretreatment NC CT
🗑
|
||||
| Stroke FT Exclusion Criteria (2) | Clinical Subarachnoid Hemorrage
🗑
|
||||
| Stroke FT Exclusion Criteria (3) | CT Multilobar Infarction
🗑
|
||||
| Stroke FT Exclusion Criteria (4) | Hx CVA
🗑
|
||||
| Stroke FT Exclusion Criteria (5) | Uncontrolled HTN (SBP > 185 or DBP > 110)
🗑
|
||||
| Stroke FT Exclusion Criteria (6) | AVM, Neoplasm, or Aneurysm
🗑
|
||||
| Stroke FT Exclusion Criteria (7) | Witnessed Seizure at Stroke Event
🗑
|
||||
| Stroke FT Exclusion Criteria (8) | Active Internal Bleeding or Fracture
🗑
|
||||
| Stroke FT Exclusion Criteria (9) | Platelets < 100,000
🗑
|
||||
| Stroke FT Exclusion Criteria (10) | Heparin <48 hrs (PTT high)
🗑
|
||||
| Stroke FT Exclusion Criteria (11) | INR >1.7 or PT >15 secs
🗑
|
||||
| Stroke FT Exclusion Criteria (12) | Intracranial or Intraspinal Surgery, Serious Head Traums, or Stroke < 3 mos
🗑
|
||||
| Stroke FT Exclusion Criteria (13) | Arterial Puncture (non-compressible) <7 days
🗑
|
||||
| Stroke FT Relative Contraindications (1) | Minor improving stroke symptoms
🗑
|
||||
| Stroke FT Relative Contraindications (2) | Major Surgery or Serious Trauma <14 days
🗑
|
||||
| Stroke FT Relative Contraindications (3) | GI/GU bleed < 21 days
🗑
|
||||
| Stroke FT Relative Contraindications (4) | AMI <3 mos
🗑
|
||||
| Stroke FT Relative Contraindications (5) | Post MI Pericarditis
🗑
|
||||
| Stroke FT Relative Contraindications (6) | BS <50 or >400
🗑
|
||||
| Survival Rate of IHCA | 17%
🗑
|
||||
| Rhythm in >75% of IHCA | Non VF/VT Rhythms
🗑
|
||||
| Mortality Rate after IHCA | >80%
🗑
|
||||
| Best way to improve survival after IHCA | Prevention
🗑
|
||||
| MET | Medical Emergency Team
🗑
|
||||
| RRT | Rapid Response Team
🗑
|
||||
| RAT | Rapid Assessment Team
🗑
|
||||
| Criteria for calling MET (1) | Threatened Airway
🗑
|
||||
| Criteria for calling MET (2) | RR <6 or >30
🗑
|
||||
| Criteria for calling MET (3) | HR <40 or >140
🗑
|
||||
| Criteria for calling MET (4) | SBP <90
🗑
|
||||
| Criteria for calling MET (5) | Symptomatic Hypertension
🗑
|
||||
| Criteria for calling MET (6) | Sudden Decrease in LOC
🗑
|
||||
| Criteria for calling MET (7) | Unexplained Agitation
🗑
|
||||
| Criteria for calling MET (8) | Seizure
🗑
|
||||
| Criteria for calling MET (9) | Significant fall in Urine Output
🗑
|
||||
| Criteria for calling MET (10) | Nurse or Provider Concern
🗑
|
||||
| Criteria for calling MET (11) | Subjective Criteria
🗑
|
||||
| Drop in CA after MET intervention | 17 to 65%
🗑
|
||||
| ROSC in OHCA | 50%
🗑
|
||||
| Survival Rate of Prehospital CPR | 25%
🗑
|
||||
| To reduces stress about "failed" CPR: | Talk about it
🗑
|
||||
| ___ can perform CPR without ___ | Anyone, fear of legal action
🗑
|
||||
| A person is a Good Samaritan if (3) | (1) genuinely trying to help, (2) help is reasonable, and (3) rescue effort is voluntary (not a job requirement)
🗑
|
||||
| Key determinants of medical futility: | Length and Quality of Life
🗑
|
||||
| CPR is ___ when survival is ___ | Inappropriate, not expected
🗑
|
||||
| Discontinue CPR for newborns after ___ | 10 minutes with no signs of life
🗑
|
||||
| Don't start CPR when ___ (3) | (1) Valid DNAR order, (2) Signs of Irreversible Death, and (3) No physiologic benefit
🗑
|
||||
| Don't start newborn CPR when (5) | (1) Gestation <23 wks, (2) Birth Weight <400 g, (3) Anencephaly, (4) Trisomy 13, or (5) Congenital anomalies incompatible with life
🗑
|
||||
| ACEI | Angiotensin-Converting Enzyme Inhibitor
🗑
|
||||
| Administer ACEI | (1) Within 24 h of AMI symptoms and (2) Long-term
🗑
|
||||
| ACEI: ED or After Admission | After Admission
🗑
|
||||
| Transient Side Effects of Adenosine | CP or Tightness, Flushing, Asystole, Bradycardia, Ventricular Ectopy
🗑
|
||||
| Increase Dose of Adenosine with ___ | Caffeine or Theophylline
🗑
|
||||
| Reduce dose of Adenosine with ___ | Dipyridamole or Carbamazepine
🗑
|
||||
| Given Amiodarone, patients must be ___ | hospitalized
🗑
|
||||
| Symptoms of CP | Pressure, Heaviness, Heavy Weight, Squeezing, Crushing
🗑
|
||||
| Organophosphate | Nerve Agent
🗑
|
||||
| Atropine dose <0.5 mg causes ___ | paroxysmal slowing of HR
🗑
|
||||
| Length of Non-Sustained V-Tach | <30 seconds
🗑
|
||||
| Treatment of Non-Sust V-Tach | No intervention necessary
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
tcrouch2000
Popular Medical sets