34
Cardiac Emergencies and Resuscitation
After endotracheal (ET) intubation during witnessed cardiac arrest, which of the following are useful to confirm correct placement of ET tube.
- Chest rise with breathing
- Auscultation of abdomen and both lung fields
- Chest X-ray
- Waveform capnography
- All of the above
- Chest rise with breathing
What does five-point auscultation after ET intubation consist of?
- Auscultation of epigastrium, both lung apices, and both axillary areas
- Auscultation of mitral, tricuspid, pulmonary, aortic, and Erb’s areas
- Epigastric area, front of both chests, backs of both chests
- None of the above
- Auscultation of epigastrium, both lung apices, and both axillary areas
In Question 34.1, which is most reliable?
- Chest rise with breathing
- Auscultation of abdomen and both lung fields
- Chest X-ray
- Waveform capnography
- All of the above
- Chest rise with breathing
With waveform capnography, what is the normal expected ?
- 35–45 mmHg
- 20 mmHg
- <10 mmHg
- 0 mmHg
- 35–45 mmHg
With waveform capnography, what is the expected during adequate cardiopulmonary resuscitation (CPR) in a code setting?
- 35–45 mmHg
- 20 mmHg
- <10 mmHg
- 0 mmHg
- 35–45 mmHg
With waveform capnography, what is the expected during CPR in a code setting with a dislodged ET tube?
- 35–45 mHg
- 20 mmHg
- <10 mmHg
- 0 mmHg
- 35–45 mHg
Which of the following statements are correct for a colorimetric exhaled CO2 detector?
- It is not as accurate as capnography
- Purple means there is CO2
- Yellow means no oxygen
- All are correct
- It is not as accurate as capnography
Which of the following are contraindications for an esophageal-tracheal tube?
- Height <4 ft
- Age <16 years
- Intact gag reflex
- Ingestion of caustic
- All of the above
- None of the above
- Height <4 ft
Which of the following statements regarding ventilation during cardiac arrest are correct?
- 30 : 2 ratio with bag-mask device
- 8–10 breaths per minute with advanced airway for a patient with cardiac arrest
- 10–12 breaths per minute with advanced airway for a patient with pure respiratory arrest
- None of the above
- All of the above
- 30 : 2 ratio with bag-mask device
For witnessed out-of-hospital cardiac arrest due to ventricular fibrillation, what is the appropriate energy level for defibrillation?
- 120–200 J with a biphasic shock device
- 360 J with a monophasic shock device
- 2–4 J/kg body weight for a child
- All of the above
- None of the above
- 120–200 J with a biphasic shock device
In a cardiac arrest situation with no access for drug delivery, what is the preferred access?
- Peripheral intravenous (IV) device
- Central line
- ET tube insertion
- Intraosseous (IO) access
- Peripheral intravenous (IV) device
For ET drug delivery, which of the following statements are accurate?
- Amount of drug should be about twice as much as IV
- Dilute in 5–10 cm3 of fluid
- Epinephrine, vasopressin, and lidocaine can be given via ET route during cardiac arrest situation
- All are correct
- None are correct
- Amount of drug should be about twice as much as IV
Which of the following can IO access be obtained from?
- Medial malleolus
- Upper tibia
- Iliac crest
- Sternum
- All of the above
- None of the above.
- Medial malleolus
Which of the following are contraindications for basic life support and advanced cardiopulmonary life support?
- Rigor mortis
- Advance directives not to resuscitate
- Clinical futility due to end-stage disease processes
- Attempt to resuscitate puts practitioner at risk
- All of the above
Stay updated, free articles. Join our Telegram channel
- Rigor mortis