Reading...
Play button
Play button
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;
16 Cards in this Set
- Front
- Back
|
before conducting the BLS primary survey you should
|
check pt responsiveness, activate EMS and get an AED
|
|
|
remember assess......
|
then perform appropriate action
|
|
|
the bls primary survey
|
ABCD
|
|
|
A
|
Airway (is it open?) open airway using nonvasive techniques htcl or jaw thrust without head extension if trauma is suspected
|
|
|
b
|
breathing (is pt breathing and arerrespirations adequate) look listen and feel for adequate breathing give 2 rescue breaths give each breath over 1 second each breath should make the chest rise do not ventilate too fast or too much
|
|
|
c
|
circulation (is pulse present?) check carotd pusle for at least 5 seconds but no longer than 10 seconds per form high quality cpr until an AED arrives
|
|
|
d
|
defirillation (if no pulse check for a shockable rhythm with a manual defib or use an AED ) provide shocks as indicated follow each shock immediatley with cpr beginning with chest compressions
|
|
|
what happens when you stop chest compressions?
|
blood flow to the brain and heart decreases rapidly and stops
|
|
|
avoid
|
prolonged rhythm analysis
frequent or inappropiate pulse checks |
|
|
taking too long to give breaths to the patient
|
unnecessarily mving the pt
|
|
|
acls secondary survey
|
abcd
|
|
|
a
|
airway patent? advanced airway indicated?) maintain airway patency in unconscious pt by use of htcl opa npa
use advanced airway managment if needed lma combitube endotracheal intubation |
|
|
b
|
breathing o2 and vent adqueate? is advanced airway indicated? proper placement of device confirmed? tube secured? and placement recomfired freqeuntly ? are co2 and oxyhemoglobin monitored?
|
|
|
b cont
|
give supp 02 assess the adequacy of oxygenation and ventialation by
clinical criiteria (chest rise ) oxygen sat capnometry or capnography confirm proper cpr and vent intergration confirm proper placement of advanced airway by phyiscal exam measurement of exhaled co2 use of esophageal detector device secure the device to prevent dislogdment continue exhaled c o3 measuremnt |
|
|
c
|
circulation (what was intial cardiac rhythm what is current have you estabished access for drugs and fluid administration does pt need volume (fluid) for resuscitation
are meds needed fro rhythm or bp?) obtain iv/io attach ekg leads and monitor for arrhythmais or cardiac arrest rythms (vf pulseless vt asystole and pea give approiate drugs to manage rhythm (amiodarone lidocain atropine magnesium ) and bp ( epi vasopressin and dopamine) |
|
|
d
|
differential diagnosis (why did pt develop cardiac arrest why is the pt still in arrest? can we identify a reversible cause of the this arrest?
search for find and treat reversiable causes (ie definitve care) |
