VERIFIED ANSWERS (UPDATED TO PASS)
Primary Survey Correct answer-ABCD
A-airway
B-breathing
C-circulation
D-defibrilation
Secondary Survey Correct answer-IAID
I-intabate (if resp. arrest or can't get good venitlaiton)
A-access airway
I-IV/IO access for Drugs
D-differential diagnosis (H's & T's)
What do you do with a non responsive patient? Correct answer-1st survey, then second survey
Med Administration Correct answer--IV access: large bore 18 g
-Site: AC
-always flush after med admin
What do you do if AED determines non-shockable rhythm? Correct answer-continue chest
compressions
What is PEA? Correct answer-Pulseless electrical activity
(ECG shows activity but there is no pulse felt in patient)
ACLS Survey Correct answer-ABCD
A-airway
B-breathing
C-circulation
D-defibrilation
ACLS Airway Survey Correct answer-SUPPLEMENTAL OXYGEN when indicated:
-100% for cardiac arrest
-titrate others to achieve >94% O2 sats
MONITOR VENTILATION EFFECTIVENESS by:
-chest rise/fall
-cyanosis
-O2 sats
-waveform capnography
AVOID EXCESSIVE VENTILATION
How many ventilations do you provide when patient is in cardiac arrest? With an advanced airway?
In respiratory arrest only? Correct answer-2 ventilations every 30 compressions
if advanced airway: 1 every 6-8 seconds
if respiratory arrest: 1 every 5-6 seconds
What do you do with a non-responsive patient? Correct answer-1. Shout for help/Activate the
Emergency Response System (get AED)
2. Check for Pulse
, 3. Start CPR
What do you do for a patient who is stable and has chest pain? Correct answer-Monitor-support
ABC
Be prepared to give CPR & Defib
Admin Aspirin (O2-sats<94%, Nitro, Morphine if needed)
Get 12 lead ECG
Cases NOT to give Nitro Correct answer-hypotension (SBP < 90)
bradycardia (< 50/min)
tachycardia
Nitro Administration Correct answer-1 tablet (or spray dose) every 3-5 min
up to total of 3 doses
H's Correct answer-Hypovolemia
Hypoxia
Hypothermia
Hyper/Hypokalemia
Hydrogen ions (acidosis)
ECG Clues for Hypovolemia Correct answer-Narrow complex
Rapid rate
Clues from History/Physical for Hypovolemia & Effective Intervention Correct answer-Flat neck
veins
History of condition
*internal bleeding & severe dehydration*
Intervention: volume infusion
ECG Clues for Hypoxia Correct answer-slow rate
Clues from History/Physical for Hypoxia & Effective Intervention Correct answer-Cyanosis
ABG
Airway Problems
Intervention: O2, ventilation, advanced airway
ECG Clues for Hydrogen Ions (acidosis) Correct answer-Smaller-amplitude QRS Complexes
History/Physical Clues for Hydrogen Ions & Effective Intervention Correct answer-History of
diabetes
Bicarb responsive pre-existing acidosis
Renal Failure
Intervention: ventilation; sodium bicarb
ECG Clues for HyperKalemia or Hypokalemia Correct answer-Hyper:
-tall, peaked T waves
-P waves get smaller
-QRS widens
-sine wave PEA
Hypo: