Exam 2 Study Guiderename
domineeringdodo's version from 2015-06-07 21:01
Section1. Order for an unconscious patient in the recovery position he or she must be VENTILATING at least 12 to 20 times a minute, not have any type of AIRWAY OBSTRUCTION.
2. Which treatment is used to dislodge a severe foreign body airway obstruction in a responsive infant that is not used on an adult? BACK SLAPS
3. List 4 reasons to stop CPR once you have started: S – STARTED BREATHING AND HAS A PULSE, T – TRANSFERRED PATIENT TO ANOTHER PROVIDER. O – YOU ARE OUT OF STRENGTH, P – PHYSICIAN DIRECTS YOU TO DISCONTINUE
4. What type of maneuver should be used to open a patent’s airway when a spinal injury is suspected? JAW-THRUST
5. In two-rescuer adult CPR, you should deliver a compression to ventilation ratio of? 30:2
6. After establishing that an adult patient is unresponsive, what is your next step? PROTECTC-SPINE FROM INJURY
7. To ensure that you will deliver the appropriate number of chest compressions dureing one-rescuer adult CPR, you should compress the patient’s chest at a rate of about 100 COMPRESSIONS PER MINUTE.
8. When performing CPR on a child, you should compress the chest: AT LEAST 100 COMPRESSIONS PER MINUTE, 1/3 OF THE CHEST DIAMETER OR ABOUT 2 INCHES, ONE HANDED
9. Abdominal thrusts in a child or adult with a severe upper airway obstruction are performed on CONCIOUS patients.
10. The patient must be in what position for CPR to be effective? SUPINE
11. What are some of the advantages of using a mechanical CPR device? IT ALLOWS THE RESCUER TO CONFIGURE COMPREDDION RATE AND DEPTH, WHILE FREEING THE RESCUER TO DO OTHER THINGS.
12. What is the correct ratio of compressions to ventilations when performing two-rescuer child CPR? 15:2
13. List 3 cases when you should not start CPR: RIGOR MORTIS, DEPENDENT LIVIDITY, PUREFACTION, EVIDENCE OF A NONSURVIVABLE INJURY
14. When ventilating an apneic adult with a simple barrier device or BVM, what is the best indication of adequate ventilation? CHEST RISE
15. How does an impedance threshold device (ITD or Res-Q-Pod) improve circulation during CPR? IT LIMITS THE AIR THAT GOES INTO THE LINGS DURING RECOIL PHASE SO THAT THERE IS NEGATIVE THORASIC PRESSURE TO DRAW MORE BLOOD TOWARDS THE HEART.
16. What is the proper depth of chest complressions on a 9 month ol infant? 1/3 OF THE CHEST DIAMETER OR ABOUT 1.5 INCHES
17. What percentage of exhaled oxygen? 16%
18. If several attempts to adequately open a trauma patient’s airway with the jaw-thrust maneuver have been unsuccessful. You should use what method to open the airway? HEAD-TILT CHIN LIFT
19. Upon arrival at the scene a 40 year old female is found to be unresponsive, pulseless, and apnic. You should
a. Start CPR and transport immediately
b. Withhold CPR until she is defubrilated
c. Determine if she has a valid living will
d. BEGIN CPR UNTIL AN AED IS AVAILABLE
20. Upon arrival at the scene a 50 year old male is found to be unresponsive, pulseless, and apneic. Your next step would be:
a. start chest compressions
b. ATTACH THE AED
c. Ventilate with a BVM and give to
d. Call 911.
21. List 3 signs of a sudden airway obstruction:
a. THE PERSON SUDDENLY IS UNABLE TO SPEAK OR COUGH
b. THEY GRASP THEIR THROAR
c. THEY TURN CYANOTIC
d. THEY MAKE EXXAGERATED EFFORTS TO BREATHE
22. Basic Life Support (BLS) is defined as: NONINVASIVE EMERGENCY LIFESAVING CARE THAT IS USED TO TREAT MEDICAL CONDITIONS, INCLUDING AIRWAY OBSTRUCTIONS, RESPIRATORY ARREST, AND CARDIAC ARREST.
23. In MOST cases, cardiopulmonary arrest in infants and children is caused by RESPIRATORY DISTRESS.
24. You should deliver chest compressions to an unconscious adult patient in cardiac arrest
a. How deep? 1/3 OF THE CHEST DIAMETER OR 3 INCHES
b. What rate? 100 COMPRESSIONS PER MINUTE
c. What hand position? HANDS OVERLAPPING ON THE LOWER HALF OF THE STERNUM
25. Most prehospital cardiac arrests occur as a result of
26. Where do you assess the pulse on an unresponsive infant? ON THEIR BRACHIAL ARTERY
27. What happens to glucose conversion in the cells without adequate oxygen? ANEROBIC RESPIRATION
28. List the O2 Percentage through nasal canula with the following flow rates:
a. 1 L/min – 24%
b. 2 L/min – 28%
c. 3 L/min – 32%
d. 4 L/min – 36%
e. 5 L/min – 40%
f. 6 L/min – 44%
29. What is the most reliable indicator of adequately performed bag-mask ventilations in an apneic adult? CHEST RISE
30. How would you prevent air from escaping from the mouth and nose of a stoma patient you are ventilating? COVER/CLOSE ALL HOLES IF THE STOMA IS NOT CUT OFF FROM THE MOUTH/NOSE.
31. The pressure of gas in a full cylinder of oxygen is approximately 2000 pounds per square inch (psi).
32. What is the leaf-shaped structure located superior to the larynx? EPPIGLOTTIS
33. How does gas exchange in the lung occur? OXYGENATION
34. What do the central chemoreceptors located in the medulla provide sense when they trigger you to breath faster and deeper? CARBON DIOXIDE
35. What is ventilation? THE PHYSICAL ACT OF MOVING AIR INTO AND OUT OF THE LUNGS.
36. The hypoxic drive is the primary stimulus to breath for patients with what chronic respiratory diseases? What is it influenced by? COPD, IT IS INFLUENCED BY PH CHANGES IN THE BLOOD