rated a targeted temperature management adults 32 36 c 896 952f titrate inspired o2 to the lowest level required to achieve
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ACLS 2022 Exam Questions and
answers, 100% Accurate, rated A+
Targeted temperature management - adults. - ✔✔32 - 36 C (89.6 - 95.2F).
Titrate inspired O2 to... - ✔✔the lowest level required to achieve arterial O2 sat 94% + to avoid
complications associated with O2 toxicity.
Mean arterial pressure goal - ✔✔65 mm Hg or greater
A team leader should be able to explain why it is essential to... - ✔✔push hard and fast in center of
chest.
ensure complete chest recoil.
minimize interruptions in compressions.
avoid excessive ventilation.
A team member should be... - ✔✔clear about role assignments.
prepared to fill their responsibilities.
well practiced in resuscitation.
knowledgeable about algorithms.
committed to success.
Resuscitation triangle (3) - ✔✔Compressor: assessed pt, 5 cycles chest compressions, alternates with
AED person every 5 cycles or 2 min.
AED/Defibrillator Monitor: brings and operates AED, places monitor where it can be seen by team
leader, alternates with compressor every 5 cycles or 2 min.
Leadership roles (3) - ✔✔Team leader: every team needs one. assigns roles to team members, makes
treatment decisions, provides feedback, assumes responsibility for roles not assigned.
Meds: Initiates IV/IO access, administers meds.
Time recorder: records time of interventions & medications and announces when next are due, records
frequency and duration of interruptions in compressions, communicates to the team leader.
Should you start CPR when you are unsure about a pulse? - ✔✔Yes, unnecessary compressions are less
harmful than failing to provide compressions when needed.
Agonal gasps - ✔✔A sign of cardiac arrest!
May be present in first minutes.
Looks like pt is drawing in air quickly.
Occur at a slow rate.
May be forceful or weak.
Time passes between gasps.
Snort, snore, groan.
BLS assessment - ✔✔Check responsiveness.
Shout for help.
Get AED/send someone.
Look for breathing - chest 5-10 sec.
Check pulse at same time. 5-10 sec.
No pulse in 10 sec, start chest compressions.
If pulse, rescue breathing 1 breath q 5-6 sec. Check pulse q 2 minutes.
Defibrillation: check for shockable rhythm, shock, follow with compressions.
,Minimize interruptions - ✔✔No longer than 10 sec!
Secondary Assessment - ✔✔Focused medical history and physical exam.
SAMPLE
, Signs and sx.
Allergies.
Medications (including last dose taken).
Past medical hx.
Last meal consumed.
Events.
H&Ts - ✔✔Common reversible causes of cardiac arrest.
Hypovolemia, hypoxia, hydrogen ion (acidosis), Hypo/hyperkalemia, hypothermia.
Tension pneumo, tamponade (cardiac), toxins, thrombosis (coronary or pulmonary).
2 most common causes of PEA - ✔✔Hypoxia and hypovolemia.
PEA hypovolemia - ✔✔rapid, narrow-complex tachycardia (sinus tachy).
Increased diastolic, decreased systolic pressure.
BP drops.
Narrow QRS.
Common causes: occult internal hemorrhage, severe dehydration.
Consider volume infusion.
acute coronary syndrome - ✔✔sudden symptoms of insufficient blood supply to the heart indicating
unstable angina or acute myocardial infarction
Tx for PE - ✔✔Fibrinolytics.
Tx for cardiac tamponade - ✔✔pericardiocentesis.
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