Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
37 Cards in this Set
- Front
- Back
What does V fib deteriorate to without rapid CPR
|
asystole
|
|
CAB
|
compression airway breathing
|
|
what does full chest recoil allow for
|
return of blood to the heart and good CO
|
|
alllows chambers to fill with blood
|
recoil
|
|
how far down should chest compressions be
|
2 inches
|
|
how many breathes per/min should be delivered
|
100/min
|
|
when is v fib the most susceptible to shock
|
first 3-4 minutes
|
|
after the first 3-4 min of vi fib what happens
|
less response without CPR
|
|
what is the average response time for first responders in sedg cty
|
4-5 minutes
|
|
how many compressions does it take to generate enough pressure to generate coronary artery pressure
|
4-5
|
|
what is adequate coronary artery perfussion
|
50
|
|
once the hands come off the chest what does the pressure go to
|
0
|
|
given til chest rise
|
1 sec breathe
|
|
what should be done once airway secured
|
8-10 breaths/min
|
|
what happens if >12breaths/min are given
|
increased intrathoracic pressure and decreased venous return and CO
|
|
ratio for one rescuer
|
30:2
|
|
ratio for two rescuers
|
15:2
|
|
how often should compressors be rotated
|
2-3 minutes
|
|
result of good CPR
|
CO is 25-30% of normal
Systolic 60-80 MAP 40 |
|
in cardiac arrest how much normal blood flow goes to the heart and how much goes to te brain
|
heart- 10-20%
brain- 20-30% |
|
attaches to the ET tube increasing the amount of negative pressure in the chest during exhalation resulting in increased CO and venous return
|
threshold impedance device
|
|
may advance to PEA
|
hypovolemic shock
|
|
support output and hemodynamics
|
inotropic agents
|
|
when do most deaths occur after resuscitation
|
24 hrs
|
|
32-34C
|
mild hypothermia
|
|
care after resus (4)
|
cool down for 24hrs
warm up after 24hr slowly strict glucose control avoid hyperventilation |
|
what causes mild hypothermia after resus
|
inflamm response and edema in brain r/t sudden perfusion
|
|
what are the poor prognostic indicators (4)
|
absent corneal reflexes
absent pupillary response absent w/d to pain no motor response |
|
failure of hlth care provider to recognize and act to a change in pt condition resulting in death
|
failure to rescue
|
|
# of pts at risk to FTR
|
124/1000
|
|
critical changes to pay attention for (6)
|
neuro status
heart rate resp rate temp serum sodium urine output |
|
who initiates code blue
|
RN
|
|
role in code blue
|
1st RN calls for help
begins CPR 2nd RN- crash cart and board 3rd RN- starts IV, 02, suction Recorder and give meds |
|
takes over ventilation in code
|
respiratory
|
|
assumes role of code leader, may intubate, ask for meds, may defib
|
physician
|
|
assist with calculation of meds
|
pharmacist
|
|
family support
|
chaplain
|