Term
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Definition
1,2,3,4
1. Check Responsiveness, scan for chest movement (5-10 sec)
2. Activate the emergency response system/AED
3. Circulation-Check carotid pulse (5-10 sec) If none start CPR (30:2)
*If there is a pulse start rescue breathing 1 breath Q 5-6 seconds (10-12/minute)
4. Defibrillation-Check for shockable rhythm as soon as AED arrives. |
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Term
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Definition
| 1 breath every 5-6 seconds or 10-12/minute. Check pulse every 2 minutes |
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Term
| If you come upon an arrest which survey should you follow for unconscious patient? |
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Definition
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Term
| For conscious patients who may need more advanced assessment and management techniques which survey? |
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Definition
Healthcare Provider ACLS survey
ASSESS then perform actions |
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Term
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Definition
A: Airway
B: Breathing
C: Circulation
D: Differential Diagnosis |
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Term
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Definition
*Maintain airway patency in unconscious patient.
*Use advanced airway management if needed.
*Advanced airway should not hold up chest compressions if bag mask is okay until patient has a rhythm and pulse, or fails to respond to initial CPR.
*If advanced airway is inserted CHECK PLACEMENT! (Waveform capnography, secure the device) |
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Term
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Definition
*Give supp O2 when indicated
-Cardiac Arrest-100% Oxygen
-Others titrate to achieve pulse ox of >94%
*Avoid excessive ventilation |
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Term
| ACLS Survey C: Circulation |
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Definition
*Monitor CPR quality
*Attach Monitor/Defibrillator for arrhythmias
*Provide Defibrillation/Cardioversion
*Obtain IV/IO access
*Give appropriate drugs
*Give IV/IO fluids if needed |
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Term
| ACLS Survey D: Differential Diagnosis |
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Definition
| Search for, find and treat reversible causes |
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Term
| Advanced Airway Ventilation Rates for Cardiac Arrest? |
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Definition
| 1 ventilation every 6-8 seconds (8-10 per minute) |
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Term
| Ventilations during respiratory arrest. |
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Definition
| 1 ventilation every 5-6 seconds (10-12 breaths per minute) Same for bag mask and advanced airway |
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Term
| Ventilation Rate for Bag Mask for cardiac arrest? |
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Definition
| 2 ventilations after every 30 compressions |
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Term
| Oropharyngeal Airway? When to use |
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Definition
Use only for unconscious patients due to gag reflex.
*KEY Assessment:Check for gag reflex prior to insertion if cough or gag reflex do not insert.
Used with Bag/mask, and suctioning |
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Term
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Definition
| Use if OPA not able to be used. May be used with conscious or semi conscious patient. |
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Term
| Epinephrin Dose and how it works? |
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Definition
1 mg Q3-5 minutes
alpha adrenergic. Causes vasoconstriction and stimulation. Vasoconstriction increases cerebral and coronary blood flow. |
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Term
| Vasopresin Dose and how it works? |
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Definition
| Nonadrenergic peripheral vasoconstrictor. 40 mg IV use once in place or 1st or 2nd epinephrine dose |
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Term
| Amiodarone dose and how it works? |
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Definition
1st: 300 mg IV bolus
2nd 150 mg IV once
If not available may use lidocaine |
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