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 w...
ACLS Questions and Answers (2022 /2023) 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, altern ates 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. Airway: Opens airway, provides bag -mask ventilation, inserts airway adjuncts as appropriate. 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 draw ing 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! Avoid... prolonged rhythm analysis. frequent/inappropriate pulse checks. taking too long to give breaths. unnecessary moving the pt. Coronary Perfusion Pressure (CPP) ✔✔Aortic relaxation (diastolic) - right atrial relaxation (diastolic) pressure. Correla tes with both myocardial blood flow and return of spontaneous circulation. ROSC does not occur unless it is 15 mm Hg or + If < 20 improve chest compressions and vasopressor therapy.
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