Term
| sudden, unexpected death caused by loss of heart function, most common cause = arryhthmia |
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Definition
| sudden cardiac death (SCD) |
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Term
| trad of cardiopulmonary arrest |
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Definition
| unconsciousness, apea, pulselessness |
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Term
| episodes of polymorphic ventricular tachycardia - ventricular fibrillation, cause of death is usually v-fib |
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Definition
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Term
| organized rhythm without the presence of a detectable pulse |
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Definition
| pulseless electrical activity(PEA) |
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Term
| CPR + _____________ saves lives |
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Definition
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Term
| if someone is alone and untrained, AHA guidelines recommend what type of CPR? |
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Definition
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Term
| recommended depth and rate of compressions? |
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Definition
| 1.5-2 inches, 100+/minute |
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Term
| when can CPR be stopped (3) |
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Definition
pt recovers spontaneous respirations and cardiac output
rescuer becomes exhausted
patient is pronounced dead |
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Term
| what position should an atraumatic pt who recovers spontaneous respiration and ciruclation be placed in? |
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Definition
| on their side (recovery position) |
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Term
| main cause of cardiac arrest in children? |
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Definition
| respiratory arrest or shock syndromes |
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Term
| uncuffed ET tubes should be used in who? |
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Definition
| children less than 7-8 yo |
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Term
| two maneuvers discouraged in children |
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Definition
| Heimlich maneuver (<1), and blind finger sweep |
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Term
CPR technique for:
infants
children 1-8
children > 8 |
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Definition
infants = two thumbs, hands encircled
childen 1-8 = palm of ONE hand
childrn >8 = treated similar to adults |
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Term
| good route of medication administration especially in kids |
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Definition
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Term
| aside from tracheal and IV what is a good route of medication adminstration for resuscitation? |
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Definition
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Term
| resuscitation should be continued until a core body temperature of _____________ in the presence of hypothermia. |
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Definition
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Term
| most frequent reason for resuscitation of a newborn is |
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Definition
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Term
| when should APGAR be continued and for how long? |
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Definition
| 5 minute score of < 7, continued every 5 minutes for 20 minutes |
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Term
| when should CPR modifications be considered in a pregnant pt? |
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Definition
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Term
| less than what gestational age do all efforts focus on the Mom? |
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Definition
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Term
| is defibrillation safe in a pregnant patient? |
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Definition
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Term
| maternal complications of CPR |
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Definition
| liver laceration, uterine rupture, hemothorax, and hemopericardium |
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Term
| potential fetal complications from CPR |
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Definition
| cardiac dysrhythmias, and central nervous system toxicity from ACLS drugs, altered uteroplacental blood flow from maternal hypoxia, acidosis, and vasoconstriction |
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Term
| In the case of maternal cardiac arrest and fetal viability what is the optimal time for delivery? |
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Definition
| within 5 minutes, and materal CPR should be continued throughout the procedure and for a brief period afterward |
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Term
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Definition
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Term
| secretions, vomitus, blood |
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Definition
| aspiration, airway obstruction |
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Term
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Definition
| tension pneumo, airway obstruction, bronchospasm |
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Term
|
Definition
| tension pneumo, cardiac tamponade, pulmonary embolus |
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Term
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Definition
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Term
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Definition
| underlying cardiac disease |
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Term
|
Definition
| tenion pneumo, R mainstem intubation, aspiration |
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Term
| distant/no BS, no chest expansion |
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Definition
| esophageal intubation, airway obstruction, severe bronchospasm |
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Term
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Definition
| aspiration, bronchospasm, pulmonary edema |
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Term
|
Definition
| aspiration, pulmonary edema, pneumonia |
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Term
|
Definition
| cardaic tamponade, tension pneumo, pulmonary embolus |
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Term
|
Definition
| AAA ruptured, or ruptured ectopic pregnancy |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| smoke inhalation/electrocution |
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Term
| indications for tracheal intubation (3 main, 2 secondary) |
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Definition
1. correction of hypoxia/hypercapnia
2. prevention of impending hypoventilation
3. ensuring maintenance of a patent airway
1. route for resuscitation meds
2. permit temporizing paralysis during diagnostic testing |
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Term
| laryngoscope is held in the ____ hand |
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Definition
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Term
| cocking the handle of the laryngoscope back risks? |
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Definition
| breaking the central incisors |
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Term
| no reliable substitute for ___________ during tracheal intubation. |
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Definition
| visualizing the tube passing through the cords |
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Term
| blade causes less trauma, less likely to stimulate airway reflex, allows for good visualization |
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Definition
curved (Macintosh) blade
think mac = apple, apples are curved. |
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Term
| this blade is mechanically easier to insert in pts who do not have large central incisors |
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Definition
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Term
| you should do this before intubation |
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Definition
| thoroughly pre-oxygenate the patient |
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Term
| clinical assessment of tube placement includes (3) |
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Definition
chest and epigastric ausculatation, tube condesation, and symmetrical chest wall expansion.
All of which are fallible. |
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Term
| confirmatory adjuncts of tube palcement (2) |
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Definition
| end-tital CO2 (ETCO2) detectors and esophageal detection devices (EDD) |
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Term
| how does an esophageal detection device work? |
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Definition
| it is a syringe that is placed on the end of the ET tube, if the tube is in the esophagus upon trying to remove the plunger the esophagus will collapse and not allow removal. If the tube is in the trachea (proper placement) the tracheal rings allow the trache to remain rigid which allows for easy removal of the plunger. |
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Term
| ______________ diffues rapidly providing an excellent index of the adequacy of ventilation. |
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Definition
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Term
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Definition
| functional capability of the lungs, determines the rate at which oxygen enters the tissue cells. |
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Term
| the greater the altitude the _________ the PaO2 in the air. |
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Definition
| lower, leading to graeter tendency to hyperventilate. |
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Term
| can provide early warning of pulmonary or cardiovascular deterioration before it is clinically apparent. |
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Definition
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|
Term
| real time estimate of PaCO2 |
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Definition
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