Complete Solutions
first thing you do in BLS - CORRECT ANSWER-tap and shout
call for help
check for pulse and breathing
what do you do if pulse is less than 60 - CORRECT ANSWER-start compressions
immediately
how fast should compressions be - CORRECT ANSWER-100-120/minute
how deep should compressions be - CORRECT ANSWER-1/3 depth of the chest ,
about 2 inches
1 rescuer CPR - CORRECT ANSWER-30:2
2 rescuer CPR - CORRECT ANSWER-15:2
SVT - CORRECT ANSWER-has a pulse
if stable-vagal first- blow in a straw/ice to eye
adenosine- 0.1 mg/kg
repeat adenosine- 0.2 mg/kg
meds fail, synchronized cardio version @ 0.5-1 J/kg
repeat synchronized cardio version @ 2 J/kg
VTach and VFib - CORRECT ANSWER-no pulse
defib @ 2J/kg and resume CPR for 2 min
repeat defib @ 4,6,8, 10 J/kg
, Epi is first med @ 0.01 mg/kg
if 2nd shock needed, give amiodarone @ 5mg/kg (can repeat x2)
PEA - CORRECT ANSWER-looks like sinus, but no pulse
Epi and compressions
tx cause (h's and t's)
asystole - CORRECT ANSWER-no pulse
check leads first
epi and compressions
tx cause (h's and t's)
bradycardia - CORRECT ANSWER-pulse less than 60
start CPR first
Epi is first med @ 0.01 mg/kg UNLESS they brady during intubation THEN atropine first
@ 0.02 mg/kg
pace if meds fail (can repeat x1 @ same dose)
upper airway obstruction - CORRECT ANSWER-increased RR and effort
stridor, drooling, and/or barking cough
could be croup or anaphylaxis
croup tx - CORRECT ANSWER-racemic epi
steroids
anaphylaxis tx - CORRECT ANSWER-IM epi @ 0.01 mg/kg
albuterol
steroids
antihistamines