Shared Flashcard Set

Details

ADV CONCEPTS: RESISCITATION
HESI HINTS
13
Nursing
Not Applicable
08/14/2009

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Cards

Term
What is the first priority when a client with an unwitnessed cardiac arrest is found?
Definition
Begin CPR
Term
Define myocardial infarction
Definition
Necrosis of the heart muscle due to poor perfusion of the heart
Term
What criteria should alert a client with known angina who takes nitroglycerin tabs sublingually to call the EMS?
Definition
Unrelieved chest pain after nitroglycerin
Term
After calling out for help and asking someone to dial emergency services, what is the next action in CPR?
Definition
Call for help and begin CPR for unresponsive infants and child, CPR should be performed for 1 min before placing a 911 call for help
Term
True or False: in feeling for presence of a carotid pulse, no more than 5 seconds should be used.
Definition
FALSE> palpate for no more than 10 seconds, recognizing the arrhythmias or bradycardia could be occuring
Term
During one rescure CPR, what is the raito of compressions to ventilations for an adult? During one rescues CPR what is the raiton of compressions to ventilation for a child?
Definition
30:2 X 5 cycles; For a child or neonate with two resucuers
Term
What is the first drug most likely to be used for an in hospital cardiac arrest
Definition
Epinephrine
Term
A client in cardiac arrest is noted on BS monitor to be pulseless ventricular tachycardia. What is the first action that should be taken?
Definition
Defibrillation
Term
True or False: A precordial thump is a routine activity for an in hospital cardiac arrest
Definition
FALSE. A thump is indicated only in pulseless VT or VF or when ventricular asystole on monitor responds to a thump with a QRS complex
Term
How would the nurse assess the adequacy of compression during CPR? How would the nurse assess the adequacy of ventilation during CPR?
Definition
Check for a pulse. watch for chest excursion and ausculate bilaterally for breath sounds
Term
If a person is choking when should the rescuer intervene?
Definition
When the person points to his or her throat and can no longer cough, talk or make sounds
Term
One should never make blind sweeps into the mouth of a choking child or infant why?
Definition
Because the object might be pushed farther down into the throat
Term
Why do the ACLs guidelines recommend a decreased relaince on the use of bicarbonate during adult CPR?
Definition
Because acidosis should be relieved with improved ventilation; bicarbonate can actually contribute to increased CO2.
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