ACLS Test 2 with 100% Correct Answers

Targeted temperature management - adults. - 32 - 36 C (89.6 - 95.2F). Titrate inspired O2 to... - the lowest level required to achieve arterial O2 sat 94% + to avoid complications associated with O2 toxicity. Mean arterial pressure goal - 65 mm Hg or greater A team leader should be able to explain why it is essential to... - push hard and fast in center of chest. Ensure complete chest recoil. Minimize interruptions in compressions. Avoid excessive ventilation. A team member should be... - clear about role assignments. Prepared to fill their responsibilities. Well practiced in resuscitation. Knowledgeable about algorithms. Committed to success. Resuscitation triangle (3) - Compressor: assessed pt, 5 cycles chest compressions, alternates with AED person every 5 cycles or 2 min. AED/Defibrillator Monitor: brings and operates AED, places monitor where it can be seen by team leader, alternates with compressor every 5 cycles or 2 min. Airway: Opens airway, provides bag-mask ventilation, inserts airway adjuncts as appropriate. Leadership roles (3) - Team leader: every team needs one. Assigns roles to team members, makes treatment decisions, provides feedback, assumes responsibility for roles not assigned. Meds: Initiates IV/IO access, administers meds. Time recorder: records time of interventions & medications and announces when next are due, records frequency and duration of interruptions in compressions, communicates to the team leader. Should you start CPR when you are unsure about a pulse? - Yes, unnecessary compressions are less harmful than failing to provide compressions when needed. Agonal gasps - A sign of cardiac arrest! May be present in first minutes. Looks like pt is drawing in air quickly. Occur at a slow rate. May be forceful or weak. Time passes between gasps. Snort, snore, groan. BLS assessment - Check responsiveness. Shout for help. Get AED/send someone. Look for breathing - chest 5-10 sec. Check pulse at same time. 5-10 sec. No pulse in 10 sec, start chest compressions. If pulse, rescue breathing 1 breath q 5-6 sec. Check pulse q 2 minutes. Defibrillation: check for shockable rhythm, shock, follow with compressions. Minimize interruptions - No longer than 10 sec! Avoid... Prolonged rhythm analysis. Frequent/inappropriate pulse checks. Taking too long to give breaths. Unnecessary moving the pt.