CPR Prep and Assessment
This is what CPA and CPR stand for
What are Cardiopulmonary arrest and cardiopulmonary resuscitation?
The 1st role that should be assigned and started for the best chance of return of spontaneous circulation
Who is the compressor?
This should happen by everyone on the team when switching compressors and should not take longer than 2-5 seconds
What is the assessment of the ECG rhythm
The specific goal of achieving high quality compressions
What is circulation of blood out to the tissues and back to the heart and lungs?
This medication is the most common vasopressor used in CPR and should be given in low doses for the 1st 10 minutes of the code
What is epinephrine?
Doing chest compressions in dorsal recumbency is best on these patients
What are brachycephalic breeds (bulldogs)?
5 items that should be easily available to ensure a code runs smoothly
What are stethoscope, endotracheal tube, laryngoscope, ambu-bag, catheter supplies, medications, medication sheet monitoring equipment, defibrillator, suction, Recover algorithm?
This role should be held by someone who knows the Recover algorithm well and can lead without dictating?
Who is the Team Lead?
The 2 pieces of monitoring equipment used during CPR
What are an ECG and ETCO2 monitors?
The rate of compressions and respirations during CPR code
What is 100-120 compressions per minute. (100 bonus points if you sang a CPR song) and What is 1 breath every 6 seconds (10 breaths per minute)
This medication is best used for patients with a high vagal tone who developed bradycardia before arrest
What is atropine?
Three breeds who require compressions to be performed on the widest part of the chest
Pitbulls, Labs, Rottweilers
This must always be well stocked when a patient crashes and emergency resuscitation is needed
What is the crash are and/or crash cart?
This very important role helps to keep the code well organized by keeping track of when and what is happening during the code
Who is the recorder?
This monitoring device assesses the quality of your compressions and can indicate when there is a return of spontaneous circulation (ROSC)
What is the importance of the ETCO2 monitor in CPR?
This is the depth of compressions?
What is 1/3-1/2 width if the chest
How often resuscitation medications should be given during a code.
What is every other cycle or every 3-5 minutes?
Compressions on these patients should be over the heart and the compressor should use only one hand or squeeze with your fingers
What are small dogs and cats?
The 3 vitals to assess to recognize cardiopulmonary arrest
What are the ABCs? Airway, breathing, circulation.
These 2 skills are best performed by someone with experience and a high success rate?
What are intubation and IV catheter placement?
These 2 rhythms are non-shockable, despite what all television medical dramas say.
What are asystole and PEA?
The appropriate posture when performing compressions
What are hand over hand, elbows locked, shoulders above hands, engage core muscles?
This medication should be administered immediately if the patient who arrested was given opioids
What is naloxone?
The 2 different ways chest compressions can be performed in veterinary medicine. (Hint: ______ Pump Theories)
What are on the thoracic pump theory (widest part of the chest) and the cardiac pump theory (directly over the heart)?
The maximum amount of time an assessment for CPA should take
What is no more than 10-15 seconds to assess patient?
Something that should be done by everyone involved immediately after the code has completed
What is a debriefing?
These 2 arrest rhythms must be converted by defibrillation.
What are ventricular fibrillation (V-fib) and pulseless ventricular tachycardia (V-tach)?
The reasons we do compressions no more and no less than 2 minutes
Too long = compressor becomes tired and quality of compressions decreases
Too short = It takes at least 1 min. quality compressions to build up aortic pressures.
One of these 2 medications can be given if the patient is known to have acidemia
What are vasopressin and/or buffer therapy (sodium bicarb)?
These large dog breeds have a triangular shaped chest. Therefore, it is best to give compressions directly over the heart. Name at least 3 breeds.
All Site hounds, Dobermans, German shepherds, Great Danes....