Advanced Life Support

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Questions and Answers

Which route of drug administration is as rapid as peripheral veins and is useful in small animals and birds?

  • Intratracheal
  • Intravenous
  • Intramuscular
  • Interosseous (correct)

Which sites can be used for interosseous drug administration?

  • Tibial crest (correct)
  • Lungs
  • Urinary catheter
  • Bronchi

What is the recommended dose of adrenaline/epinephrine for asystole or pulseless electrical activity (PEA)?

  • High dose
  • Low dose (correct)
  • Variable dose
  • No dose

Which drug causes peripheral vasoconstriction without increasing myocardial oxygen demand?

<p>Vasopressin (D)</p> Signup and view all the answers

What is the theoretical benefit of atropine in patients with high vagal tone?

<p>Increases heart rate (B)</p> Signup and view all the answers

When is fluid therapy only considered in patients?

<p>With known hypovolemia (B)</p> Signup and view all the answers

What is the potential benefit of bicarbonate in prolonged CPA?

<p>Neutralizes blood pH (B)</p> Signup and view all the answers

When is open chest CPR more effective than external compressions?

<p>Intrathoracic pathology (C)</p> Signup and view all the answers

Which three aspects are included in CPR - Advanced Life Support?

<p>Monitoring and Chest Compressions and Administer reversals (B)</p> Signup and view all the answers

What is the most useful piece of equipment for monitoring a patient during CPR?

<p>Capnography (B)</p> Signup and view all the answers

What does an ECG primarily assess during CPR?

<p>Rhythm (B)</p> Signup and view all the answers

Which method is NOT reliable for assessing the patient's status during CPR?

<p>Blood pressure (B)</p> Signup and view all the answers

Which vascular access site carries the risk of thrombophlebitis?

<p>Jugular (A)</p> Signup and view all the answers

Which method can be used to assess larger animals during CPR?

<p>Patient waking up (A)</p> Signup and view all the answers

Which method is NOT a reliable way to monitor patients during CPR?

<p>SPO2% (A)</p> Signup and view all the answers

Which method can be used to obtain vascular access for drug administration during CPR?

<p>Cephalic (C)</p> Signup and view all the answers

Which of the following is a potential benefit of hypothermia in post-ROSC care?

<p>Enhances neurological outcomes (B)</p> Signup and view all the answers

What is the target range for paO2 or Spo2 in respiratory optimization during post-ROSC care?

<p>80-100 mmHg or 94-98% (A)</p> Signup and view all the answers

Which of the following is NOT a recommended vasopressor therapy for hypertensive patients during post-ROSC care?

<p>Atropine (A)</p> Signup and view all the answers

What is the significance of sudden increases in end-tidal carbon dioxide in capnography during resuscitation?

<p>Confirms successful ventilation (C)</p> Signup and view all the answers

Which of the following is NOT a reliable indicator of successful resuscitation during post-ROSC care?

<p>Increased end-tidal carbon dioxide (A)</p> Signup and view all the answers

What is the recommended rate of rewarming for hypothermic patients during post-ROSC care?

<p>0.5 degrees/hr (D)</p> Signup and view all the answers

What is the potential risk associated with hyperoxia during post-ROSC care?

<p>Oxidative damage (B)</p> Signup and view all the answers

What is the recommended target range for systolic blood pressure in cardiovascular optimization during post-ROSC care?

<p>90-110 mmHg (D)</p> Signup and view all the answers

When should capnography be used during post-ROSC care?

<p>In conjunction with other supportive measures (B)</p> Signup and view all the answers

Which two monitoring methods are considered the most useful during CPR?

<p>Capnography and ECG (D)</p> Signup and view all the answers

What does capnography measure during CPR?

<p>Movement of carbon dioxide from tissue to the lungs (D)</p> Signup and view all the answers

Which method is NOT reliable for assessing the patient's status during CPR?

<p>SPO2% (C)</p> Signup and view all the answers

Which vascular access site carries the risk of thrombophlebitis?

<p>Jugular (B)</p> Signup and view all the answers

Which clinical change is a strong indicator that the animal is alive during CPR?

<p>Patient waking up (D)</p> Signup and view all the answers

Which method can be used to assess larger animals during CPR?

<p>Clinical changes (B)</p> Signup and view all the answers

Which method is NOT a reliable way to monitor patients during CPR?

<p>SPO2% (C)</p> Signup and view all the answers

What is the most useful piece of equipment for monitoring a patient during CPR?

<p>Capnography (C)</p> Signup and view all the answers

Which route of drug administration is almost as good as intravenous (IV) and is particularly useful in small animals and birds?

<p>Intratracheal (IT) (A)</p> Signup and view all the answers

What are the sites commonly used for interosseous (IO) drug administration?

<p>Humerus, tibia, and femur (D)</p> Signup and view all the answers

In neonates, how can the interosseous (IO) route be achieved?

<p>With a needle (B)</p> Signup and view all the answers

Which drug is recommended for reversing the effects of opioids, such as methadone?

<p>Naloxone (A)</p> Signup and view all the answers

Which drug causes peripheral vasoconstriction and increases myocardial oxygen demand?

<p>Adrenaline/epinephrine (C)</p> Signup and view all the answers

Which drug causes peripheral vasoconstriction without increasing myocardial oxygen demand?

<p>Vasopressin (D)</p> Signup and view all the answers

Which drug is a parasympatholytic and is theoretically good for patients with high vagal tone?

<p>Atropine (A)</p> Signup and view all the answers

When is high-dose adrenaline/epinephrine considered in cardiac arrest?

<p>In cases lasting more than 10 minutes (B)</p> Signup and view all the answers

During post-ROSC care, what is the target range for paO2 or Spo2 in respiratory optimization?

<p>80-100mmHg or 94-98% (A)</p> Signup and view all the answers

What is the theoretical benefit of hypothermia in post-ROSC care?

<p>Enhanced neurological recovery (B)</p> Signup and view all the answers

Which vasopressor therapy is commonly used to achieve normotension in hypertensive patients during post-ROSC care?

<p>Noradrenaline (B)</p> Signup and view all the answers

What is the recommended rate of rewarming for hypothermic patients during post-ROSC care?

<p>0.5 degrees/hr (B)</p> Signup and view all the answers

Which method is NOT a reliable way to monitor patients during CPR?

<p>ECG (A)</p> Signup and view all the answers

What is the potential risk associated with hyperoxia during post-ROSC care?

<p>Oxidative damage (D)</p> Signup and view all the answers

Which drug causes peripheral vasoconstriction without increasing myocardial oxygen demand?

<p>Epinephrine (A)</p> Signup and view all the answers

When should capnography be used during post-ROSC care?

<p>As a routine monitoring tool (C)</p> Signup and view all the answers

Which method can be used to obtain vascular access for drug administration during CPR?

<p>Intraosseous route (C)</p> Signup and view all the answers

Flashcards

Interosseous (IO) Route

Rapid drug administration route, useful in small animals/birds.

IO Administration Sites

Common sites for interosseous drug administration.

Vasopressin

Vasoconstricts without raising myocardial oxygen demand.

Atropine's Benefit

Increases HR by blocking vagal nerve influence.

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Naloxone Function

Counteracts opioid effects like methadone.

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Bicarbonate Benefit

In prolonged CPA, it may neutralize blood pH.

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Open Chest CPR

When chest is open, compressions are more effective

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CPR - Advanced Life Support

Monitoring, compressions, and administering reversals.

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Capnography

Measures CO2 levels to assess ventilation.

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ECG During CPR

Assesses heart rhythm during resuscitation.

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When to Consider Fluid therapy

Known Hypovolemia

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SPO2% Unreliability

Unreliable assessment during CPR.

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Cephalic Vein Use

Can be used to obtain vascular access for drug administration.

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Clinical Changes

Can be used to assess larger animals

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Hypothermia Benefit

It may enhance neurological outcomes following ROSC.

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Target paO2/SpO2

80-100 mmHg or 94-98%

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When to avoid Atropine

Not recommend for hypertensive patients

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Increased End-Tidal CO2

Successful ventilation confirmation.

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Hyperoxia Risk

Too Much Oxygen

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Capnography and ECG

CPR monitoring and assessment

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Capnography

Movement of carbon dioxide from tissue to the lungs

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SPO2

Unreliable when CPR is in progress

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SPO2

Unreliable assessment during CPR due to low blood flow rates

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Adrenaline/epinephrine

Raises oxygen demands for the heart

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Adrenaline/epinephrine

Useful for cases lasting longer than 10 minutes

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Target paO2/SpO2

80-100mmHg or 94-98%

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Hypothermia

Enhanced neurological recovery

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Normotension Drug

Noradrenaline

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Hyperoxia

What is the potential risk associated with hyperoxia during post-ROSC care?

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