Cardiac Arrest Response Quiz

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Questions and Answers

Which of the following is the correct rate for chest compressions in cardiac arrest, according to the protocol?

100-120 compressions per minute (correct)

120-140 compressions per minute

60-80 compressions per minute

80-100 compressions per minute

What is the recommended duration of one adult cycle of chest compressions, according to the protocol?

2 minutes (correct)

3 minutes

1 minute

4 minutes

When should defibrillator pads be applied during chest compressions, according to the protocol?

After assessing the rhythm (correct)

During compressions

After starting compressions

Before starting compressions

What should be done if the patient has a shockable rhythm, according to the protocol?

Defibrillate immediately Signup and view all the answers

Which is the preferred vascular access in cardiac arrest situations?

Intraosseous (IO) access Signup and view all the answers

What should be done after administering epinephrine via the Advanced Airway route?

Provide 5 rapid ventilations Signup and view all the answers

When should medications be given during the compression cycle?

At the beginning of the cycle Signup and view all the answers

What is the recommended duration of CPR before identifying the rhythm and following AED prompts?

2 minutes Signup and view all the answers

According to the protocol, how often should epinephrine be repeated during the arrest?

Every 5 minutes Signup and view all the answers

What action should be taken if the rhythm is NOT shockable after completing 2 minutes of CPR?

Check for pulse and resume CPR if absent Signup and view all the answers

When should amiodarone be administered during CPR?

After completing 2 minutes of CPR Signup and view all the answers

When should sodium bicarbonate be considered for administration?

After 10 minutes of CPR Signup and view all the answers

Which rhythm is characterized by an organized rhythm other than ventricular tachycardia on the cardiac monitor in a patient without a palpable carotid pulse?

PEA Signup and view all the answers

What is the recommended treatment for a patient with PEA?

Administer epinephrine and evaluate for underlying causes Signup and view all the answers

What is the best indicator of a viable asystole?

CO2 reading of 20 on waveform capnography Signup and view all the answers

What is the recommended treatment for a patient with a slow and wide cardiac rhythm without a carotid pulse?

Administer sodium bicarbonate and flush the IO/IV access line with normal saline Signup and view all the answers

Which of the following is the recommended approach for airway management in a patient with cardiac arrest?

Continuous compressions and early defibrillation Signup and view all the answers

Which airway management intervention might be preferred in cases of suspected upper airway inhalation burns, severe facial trauma, or presence of vomitus in the mouth?

Endotracheal intubation Signup and view all the answers

What is the primary airway choice in cardiac arrest?

Supraglottic Airway Signup and view all the answers

When is it appropriate to use an Endotracheal Tube (ETT) as the airway choice in cardiac arrest?

On the initial Advanced Airway attempt Signup and view all the answers

Which intervention should be performed for a patient with hypoxemia?

Confirm adequacy of oxygenation Signup and view all the answers

What is the recommended treatment for a patient with hydrogen ion acidosis?

Administer sodium bicarbonate Signup and view all the answers

What should be done for a patient with hypothermia?

Warm the patient Signup and view all the answers

Which intervention is recommended for a patient with hyperkalemia?

Administer sodium bicarbonate Signup and view all the answers

What is the appropriate treatment for a patient with hypoglycemia?

Administer dextrose 50% (D50W) Signup and view all the answers

Study Notes

Chest Compressions in Cardiac Arrest

Correct rate for chest compressions: 100 to 120 compressions per minute.
Recommended duration for one adult cycle of chest compressions: 2 minutes.
Defibrillator pads should be applied as soon as available, even during ongoing compressions.

Shockable Rhythm Protocol

If a patient displays a shockable rhythm, deliver one shock and resume CPR immediately for 2 minutes.
Medications like epinephrine should be repeated every 3 to 5 minutes during the arrest.

Vascular Access and Medications

Preferred vascular access in cardiac arrest situations is intraosseous (IO) or intravenous (IV).
After administering epinephrine via the Advanced Airway route, continue CPR and reassess rhythm.

CPR and Medication Timing

CPR should be continued for 2 minutes before checking the rhythm and following AED prompts.
Medications can be given at any time during the compression cycle.

Rhythm and Shockable Considerations

If the rhythm is NOT shockable after 2 minutes of CPR, continue CPR and reassess frequently.
Amiodarone is administered during CPR after the third shock in a patient with ventricular fibrillation or pulseless ventricular tachycardia.

Acidosis and Other Conditions

Sodium bicarbonate should be considered for metabolic acidosis, particularly in cases of hyperkalemia.
For hydrogen ion acidosis, supportive treatments and correcting underlying causes are advised.

Special Considerations

Best indicator of viable asystole is the presence of electrical activity without a pulse.
Treatment for patients with PEA (Pulseless Electrical Activity) focuses on high-quality CPR and addressing underlying causes.

Airway Management Strategies

Recommended approach for airway management in cardiac arrest includes using bag-valve-mask ventilation and advanced airway adjuncts if needed.
Prefer endotracheal intubation (ETT) in patients with suspected upper airway inhalation burns or severe facial trauma.

Treatment for Specific Conditions

For hypoxemia, provide supplemental oxygen and ensure proper ventilation.
Hypothermia treatment involves rewarming procedures.
Hyperkalemia requires calcium administration, hydration, and consider using sodium bicarbonate.
Treat hypoglycemia with glucose or dextrose administration.

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Description

This quiz tests your knowledge on the timing and actions to take during cardiac arrest, including the administration of epinephrine and checking the rhythm. Test your skills and learn the proper protocols for CPR and resuscitation.