QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND NEW VERSION!!
Beck's triad - CORRECT ANSWER- Signs of a cardiac tamponade. JVD, narrowing BP
pressures, muffled heart sounds
Distributive shock - CORRECT ANSWER- The type of shock when there is widespread
dilation of the small arterioles, venules, or both. Blood pools in the expanded
vascular beds and tissue perfusion decreases
Types of distributive shock - CORRECT ANSWER- Septic shock caused by severe
infections; neurogenic shock caused by damage to the spinal cord (bradycardia,
low BP, warm skin); anaphylactic shock caused by allergic reaction; psychogenic
shock
Hypovolemic shock - CORRECT ANSWER- The type of shock that results from an
inadequate amount of fluid or volume in the system
-15% of blood volume
How do you treat for shock? - CORRECT ANSWER- Keep the patient warm, control
bleeding, put the patient in a position of comfort, and administer high-flow
oxygen
,brain damage without oxygen - CORRECT ANSWER- -without enough oxygen, cardiac
arrest or brain damage occurs within about 4 minutes
-permanent brain damage within 6 minutes
-death likely within 10 minutes
FBAO - CORRECT ANSWER- -signs of blockage include inability to cough or speak or
inability to ventilate patient
-bending patient forward at the waist, support chest with one hand, use heel of
hand to give 5 back blows between shoulder blades
-then 5 abdominal thrusts
-alternate between the two until object is dislodged
-if patient loses consciousness, give CPR starting with chest compressions
-given even if patient has a pulse, so don't check
-before giving breaths, look inside mouth for any visible objects
cardiogenic shock - CORRECT ANSWER- -the type of shock caused by inadequate
function of the heart. This develops when the heart cannot maintain sufficient
output to meet the demands of the body
-caused by any disease or event which prevents heart pumping
-can occur directly after AMI up to 24 hours
Obstructive shock - CORRECT ANSWER- The type of shock that results when
conditions that cause mechanical obstruction of the cardiac muscle also impact
pump function
,ex. cardiac tamponade, tension pneumothorax
FBAO in children - CORRECT ANSWER- -using thigh for support, lay facing down along
forearm; ensure head is lower than the body
-give 5 firm back blows between blades
-5 chest thrusts; place 2 to 3 fingers in the middle of the chest just below the
nipples. push down 1.5 inches.
-alternate, unless lose consciousness, then CPR
mouse to mouth/mouth to nose - CORRECT ANSWER- -mouth to mouth performed
when patient does not have adequate breathing and artificial ventilation not
available
-open airway
-place barrier device
-pinch nose and form seal around patient's mouth
-check for FBAO if you do not see chest rise and fall
-give 1 breath every 5 to 6 seconds for adults and 1 every 3 for peds
Steps of CPR - CORRECT ANSWER- Determine unresponsiveness. Check for breathing
for up to 10 seconds. Check carotid pulse for up to 10 seconds. Begin CPR until
AED is available. Give 30 compressions at 100 beats/min and then 2 breaths over
the course of 1 second. Once an advanced airway is inserted, ventilate at a rate of
8-10 breaths/min and do not stop compressions.
, This is exactly the same for children, except two-rescuer CPR is 15:2. If patient
experiences a return of spontaneous circulation, ventilate at a rate of 10-12
breaths/min.
compression to breath ratios - CORRECT ANSWER- under 8 years old:
-2 provider: 15:2
-1 provider: 30:2
-one third of chest diameter
older:
-30:2 always
-2 inches
AED procedure - CORRECT ANSWER- -if cardiac arrest was not seen by EMS, give 5
cycles of 30:2 before defibrillating
-if cardiac arrest was seen, one EMT begins compressions and the other applies
AED
-if only one EMT available, apply AED immediately
-check for pulse 2 minutes after defib
-if no shockable rhythm, wait 2 minutes and re-analyze
When to place left lateral - CORRECT ANSWER- If patient has adequate breathing
and is uninjured. To maintain a patent airway in an unresponsive patient.