CPR
When performing CPR, what is the rate of compressions to breaths?
30:2
I am a rhythm with a rate >60 and <100. What am I?
Normal sinus rhythm YAY!
What is the most important thing to know about the patient before starting CPR?
Code status.
Name 5 members of the medical team you would see in a code blue.
Physician
RT
Nurses (primary, second, charge, recorder)
Chaplain
Phlebotomist
Pharmacist
When providing manual ventilations during a code blue, what is the ventilation rate?
1 every 6 seconds; aka 10-12 breaths a minute
To assess for a pulse on a cardiac arrest adult patient, you would assess where?
femoral pulse
TRUE or FALSE: Asystole requires immediate defibrillation to increase the patient's chances of survival.
FALSE.
When an unexpected death occurs in the emergency department, which task is the most appropriate to delegate to a nursing assistant?
A. Assisting with postmortem care
B. Facilitate meetings between the family and the organ donor specialist
C. Escorting the family to a place of privacy
D. Help the family to collect belongings
A. Assisting with postmortem care
I'm one of the first line of drugs to give during a code blue. What am I?
Epinephrine
When a patient is intubated, what are 3 ways to verify tube placement?
CO2 detector
Breath sounds
X-ray
Flick the bottom of the foot to elicit a response
I am a shockable rhythm. What am I?
Ventricular fibrillation and pulseless ventricular tachycardia
What item would you grab for effective CPR?
A backboard
ACLS: Treat the _____, not the ______.
You suspect a head and neck injury in a victim who is unresponsive and not breathing. How would you open the airway to give breaths?
A. Jaw thrust technique
B. E-C clamp technique
C. Head tilt-chin lift
D. Thumb index lift
A. Jaw thrust technique
To assess for a pulse on a cardiac arrest pediatric patient, you would assess where?
brachial pulse
I have rapid irregular atrial contractions due to an abnormality of atrial excitation. People say my name sounds like a butterfly.
Atrial flutter
What type of communication should we use during a code?
TRUE or FALSE: The family member should be discouraged from being in the room during resuscitation?
FALSE
Acidotic!
You have received a 6 year old patient via ambulance in cardiac arrest s/p drowning in their backyard pool. No pediatric AED pads are available, so you decide to use adult AED pads as an alternative. Where do you place the pads on the patient?
1-8 years old = place one adult pad on the front of chest and one on the back of chest
I might look good, but I don't have a pulse. What am I?
Pulseless electrical activity (PEA)
What's the difference between DNR and DNI?
DNR - no CPR (chest compressions, cardiac drugs, or placement of a breathing tube)
DNI “Do Not Intubate” - chest compressions and cardiac drugs may be used, but no breathing tube will be placed
The nurse should call the rapid response team for which patients? (Select all that apply)
A. 53-year-old with pneumonia and severe respiratory distress
B. 17-year-old with apnea following a severe head injury
C. 24-year-old experiencing a severe asthmatic attack with stridor
D. 73-year-old patient with bradycardia of 40 beats per minute and complaints of shortness of breath
E. 52-year-old patient with no palpable pulse
A, C, D
*The patient without a pulse and the patient with apnea needs the code team activated.
The nurse needs to evaluate arterial blood gases before the administration of which drug?
A. Calcium chloride
B. Magnesium sulfate
C. Potassium
D. Sodium bicarbonate
D. Sodium bicarbonate