Download CPR Online Class 2024/25 Q&As: A Comprehensive Guide to CPR Techniques and AED Usage and more Exams Nursing in PDF only on Docsity!
CPR Online Class 2024 /25 Q&As
After positioning yourself directly above the victim's head, what is the correct order of steps for using a bag-mask device? - ✔✔1. Place the mask on the victim's face, using the bridge of the nose as a guide for the correct position
- Use the E-C clamp technique to hold the mask in place while you lift the jaw to hold the airway open
- Squeeze the bag to give breaths (1 second each) while watching for chest rise How are breaths delivered using a bag-mask device? - ✔✔ 1 breath over 1 second, while watching for chest rise Why an AED is needed - ✔✔- Most sudden cardiac arrests are triggered by abnormal heart rhythms called arrhythmias
- Two life-threatening arrhythmias that can cause cardiac arrest are pulseless ventricular tachycardia(pVT) and ventricular Fibrillation (VF) where the heart's electrical impulses suddenly become chaotic and ineffective
- Blow flow to the brain stops abruptly, and the victim loses consciousness
- Death usually follows unless a normal heart rhythm and pulse are restored within minutes Why is an AED needed? - ✔✔To analyze the heart rhythm and provide a shock After an AED delivers a shock, what should the rescuers do next? - ✔✔Resume CPR, starting with chest compressions
How to Use an AED - ✔✔Step 1: Power on the AED if needed
- Follow the prompts (as a guide to next steps) Step 2: Choose adult pads for victim 8 years of age and older
- Attack the adhesive AED pads to the victim's bare chest
- Follow the diagrams on the pads Step 3: When AED prompts you, clear the victim during analysis. Be sure no one is touching the victim, not even the rescuer in charge of giving breaths
- Some AEDs will tell you to push a button to allow the AED to begin analyzing the heart rhythm; others will do automatically
- The AED may take a few seconds to analyze Step 4: If the AED advises a shock:
- it will charge and then tell you again to clear the victim
- Clear the victim before delivering the shock
- Pressure the shock button
- The shock will produce a sudden contraction of the victim's muscles
- After any shock delivery, immediately resume CPR If no shock is needed:
- Immediately resume CPR, starting with compressions Where should the AED pads be placed in the anterolateral placement for adults and children 8 years or older? - ✔✔-Below the right collarbone
If the victim is not responsive, shout for nearby help. If you are alone get the AED/defibrillator; if someone else is available send that person to get it Next, look for no breathing or only gasping and check the pulse simultaneously. Is a pulse definitely felt within 10 seconds? If there is normal breathing and a pulse felt, monitor until emergency responders arrive If there is no normal breathing and pulse is felt, provide rescue breathing, Give 1 breath every 6 seconds, or 10 breaths/min. Check the pulse every 2 minutes and if there is no pulse, start CPR. If possible opioid overdose, administer naloxone if available per protocol If there is no normal breathing or only gasping and a pulse is not felt, start CPR. Perform cycles of 30 compressions and 2 breaths and use the AED as soon as it is available Once the AED arrives, check the rhythm If the rhythms is shockable, give 1 shock and resume CPR immediately for 2 minutes until prompted by the AED to allow a rhythm check If rhythm is nonshockable, resume CPR immediately for 2 minutes, until prompted by the AED to allow a rhythm check Continue CPR until ALS provider take over or the victim starts to move Adult BLS algorithms for health care providers - ✔✔Verify Scene Safety Check for Responsiveness
- Tap the victim's shoulders and shout, "Are you OK?"
- If the victim is not responsive, shout for nearby help.
- Activate the emergency response system via mobile device
- Get the AED or send someone to do so Look for no breathing or only gasping and check the pulse( simultaneously). Is a pulse definitely felt within 10 seconds? Normal breathing, pulse felt
- monitor until emergency responders arrive No normal breathing, pulse felt
- 1 breath every 6 seconds, or 10 breaths/min
- Check the pulse every 2 min
- If no pulse, start CPR
- If possible opioids overdose, administer naloxone if available per protocol No normal breathing and only gasping, pulse not felt
- Start CPR
- Perform cycles of 30 compressions and 2 breaths
- Use AED as soon as it is possible Once the AED arrives, check the Rhythm: Shockable rhythm:
- give 1 shock and resume CPR immediately for 2 minutes (until prompted by AED to allow rhythm check)
Activate the emergency response system and get an AED Look for no breathing and only gasping and check pulse Begin CPR if no breathing or no gasping and no pulse felt When should the rescuer operating the AED clear the victim? - ✔✔During Analysis and before shock delivery Critical Components of Chest compressions: Children - ✔✔Rate: 100 to 120/min Depth: approximately 2 inchest(5 cm) Hand Placement: 2 hands on the lower half of the breastbone (sternum); Could use 1 hand for a very small child Chest Recoil: allow complete recoil, do not lean on the chest Minimizing Interruptions: limit interruptions to less than 10 seconds You and your colleague respond to an adult victim who is unresponsive. After assessing the victim is not breathing and has no pulse, what do you instruct your colleague to do? - ✔✔Activate the emergency response system and get AED What is the target rate for chest compression for children? - ✔✔ 100 to 120/min
During CPR on child, you should place 1 or 2 hand over the of the - ✔✔Lower half; Breastbone Two life-threatening arrhythmias that can cause cardiac arrest are pulseless ventricular tachycardia and - ✔✔Ventricular fibrillation During CPR on a child, interruption to chest compression should be limited to no more than seconds - ✔✔ 10 Critical Components of Chest Compressions: Infants - ✔✔In infants rescuer should compress at a rate of 100 to 120 per minutes, to a depth of approxiatemly 1 1/2 inches ( cm) For 1 rescuer, 2 finger should be positioned in the center of the chest, just below the nipple line For 2 rescuers, use the 2 thumb, encircling hands technique by positioning the thumbs in the center of the chest, just below the nipple line One rescuer may also use the 2 thumb, encircling hand technique or the hell of 1 hand You should allow complete recoil of the chest after each compression It important to avoid leaning on the chest between compressions Interruption in chest compressions should be limited to less than 10 seconds
- Use the AED as soon as it is available
- immediately give 2 min of CPR, then leave the victim to activate emergency response system and get AED
- Return to child or infant and resume CPR
- use AED as soon as it is available What is a correct approach for AED pad placement for infants and children less than 8 year of age? - ✔✔As indicated on the pad packages AED pad placement: Infants and Children less than 8 year of age - ✔✔Pad Choice:
- If your AED includes smaller-sized pads that are designed for children under 8 year of age, use them
- If not, use the adult pads while making sure that they don't touch or overlap
- Do not use the child pads for an adult. The shock dose is too small for an adult Pad Placement:
- Some AED pads recommend placing one pad on the chest and one pad on the back for infants and children
- Follow the pictures on the pad packages for proper placment When performing high-quality CPR on a child, what is the correct depth of compressions? - ✔✔Approximately 2 inches (5 cm)
Pediatric BLS algorithm for healthcare providers- Single Rescuer - ✔✔Verify scene safety Check for responsiveness:
- tap the victim's children and should, "Are you OK?"
- If victim if not responsive, shout for nearby help
- Activate the emergency response system via mobile devices Look for no breathing and only gasping and check the pulse (simultaneously). Is a pulse definitely felt within 10 seconds? Normal Breathing and a pulse is felt
- monitor until emergency responders arrive No normal breathing and a pulse is felt
- give rescue breath 2 - 3 sec (20- 30 breaths per min)
- Assess pulse rate for no more than 10 seconds Heart Rate <60/min w/ signs of poor perfusion
- start CPR Heart Rate greater than or equal to 60/min
- continue rescue breathing
- check pulse every 2 min
- if no pulse, start CPR No breathing or only gasping and no pulse is felt
Check for responsiveness
- tap the victims's should and shout, "Are you OK?"
- If the victim is not responsive, shout for nearby help
- First rescuer remains with the child
- The second rescuer activates the emergency response system and get the AED Look for no breathing or only gasping and check the pulse (simultaneously). if a pulse definitely felt within 10 seconds? Normal breathing and a pulse is felt
- monitor until emergency responders arrive No normal breathing and a pulse is felt
- give rescue breaths 2 - 3 second (20- 30 breaths per min)
- Assess pulse rate for no more than 10 seconds Heart rate less than 60/min with signs of poor perfusions
- Start CPR Heart rate greater or equal to 60/min
- continue rescue breathing
- check pulse every 2 min
- if no pulse, start CPR No breathing or only gasping, no pulse is felt
- Begin CPR
- The first rescuer begins CPR with a 30:2 ration
- when the second rescuer returns, use a 15: 2 ratio Use the AED as soon as it is available Once AED arrives, check the rhythm: Shockable rhythm:
- give 1 shock and immediately resume CPR Nonshockable rhythm:
- Immediately resume CPR for about 2 min Continue CPR with a ratio of 15:2 until ALS provider take over or the victim starts to move What is the recommended depth of compressions in infants? - ✔✔Approximately 1 1/ inches (4 cm) Minimizing Interruption while using an AED - ✔✔When 2 or more rescuers are present
- one rescuer should continue chest compressions while the other operates the AED Rescuers should continue high-quality CPR
- until the AED deliver a prompt to clear the victim for analysis
- If no shock is advised and after any shock delivery, immediately resume high quality CPR, starting with chest compressions
- Compressor switches
- Defibrillation
- Intubation
- Pulse checks Which of the following are resuscitation triangle role in a high-performance team? - ✔✔- Compressor
- AED/Monitor/Defibrillator]
- Airway AED pad placement: infants and children less than 8 years of age - ✔✔pad choice:
- if your AED includes smaller-sized pads that are designed for children under 8 years of age, use them
- If not, use the adult pads while making sure that they don't touch or overlap
- Do not use the child pads for an adult. The shock dose is too small for an adult Pad Placement:
- Some AED pads recommend placing one pad on the chest and one pad on the back for infants and children
- Follow the pictures on the pad package for proper placment which team members are responsible for the following role? - ✔✔-Compressor-Assess patient, performs chest compressions, switches with the AED/monitor every 5 cycles.
- AED/Monitor/Defibrillator- brings in & operates AED, positions monitor so it can be seen by everyone, switches with compressor every 5 cycles.
- Airway- opens and maintains airway, provides ventilation. Assigning your team members to individual roles and outlining what each member needs to do during the resuscitation attempt is an example of what element of high- performance team dynamics? - ✔✔clear roles and responsibilities You and your team initiated compression and ventilation. the AED was attached, and "no shock" was advicsed. Your team has continued CPR for 1 min. You tell your team in a respectful, clear, and calm voice, "Leslie, during the next analysis by the AED, I want you and Justin to switch positions, and I want you to perform compressions for next cycles" Leslie replies "Got it. Next time the AED analyzes, I will switch with Justin and assume the role of compressor. This is an example of which element of high-performance team dynamics? - ✔✔Closed-loop communciation As team leader, you notice that your compressor is pushing too fast. It is important to correct action that are incorrect, but it is also important to be tactful when delivering this correction to a colleague. This is an example of what element of team dynamics? - ✔✔Constructive intervention What Action can you take as a team during and after resuscitation attempt that help individual team members perform better and brings awareness to system strength and deficiencies? - ✔✔Debriefing AED Special Considerations - ✔✔Hairy Chest:
Your adult friend suddenly collapses at home, you determine she needs CPR. You begin CPR, starting with chest compressions and are about to deliver breaths by using mouth-to- mouth breaths. You open the airway with a head tilt- chin lift What is the sequence of your next Actions? - ✔✔1. Pinch the nose and seal your lips around the victim's mouth
- Give 1 breath and blow for about 1 seconds
- Watch for chest rise while giving the breath
- Give a second breath (blowing for about 1 second, watching for chest rise) Mouth-to-mouth- and nose breathing: Infants - ✔✔Step 1: open the infant's airway with a head tilt-chin lift Step 2: Place your mouth over infant's mouth and nose to create an airtight seal Step 3: Give one breath, blowing for about 1 second. Watch for the chest to rise as you give the breath Rescue Breathing: Adults, children, and infants - ✔✔Adults:
- Give 1 breath every 6 seconds (10 breaths/min)
- Give each breath over 1 second and make sure there is visible chest rise with each breath
- During rescue breathing- Check the victim's pulse every 2 minutes Children and Infants:
- Give 1 breath every 2 - 3 seconds (20- 30 breaths/min)
- Give each breath over 1 second, and make sure there is chest rise with each breath
- During rescue breathing, check the victim's pulse every 2 minutes When providing rescue breaths to child or infant victim, you should give 1 breath every to ____ seconds - ✔✔2, 3 How is CPR performed differently when an advanced airway is in place? - ✔✔No pauses for ventilations (breathing) What is the correct sequence of actions for performing mouth-to mouth- and nose breaths for an infants? - ✔✔1. Perform a head tilt- chin lift
- Place your mouth over the infant's mouth and nose to create an airtight seal
- Give one breath, blowing for about 1 second, watching for chest rise When an advanced airway is in place, chest compressions should be provided at a rate of to per minute - ✔✔100, 200 When providing rescue breaths to an adult victim, you should give breath(s) every seconds - ✔✔1, 6 With an advanced airway in place, rescue breaths should be given at a rate of breath(s) every second (s) for adults. - ✔✔1, 6 What are common administration route for naloxone? - ✔✔- Intramuscular
