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ACLS 2022 (A+ GRADED 100% VERIFIED).
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ACLS 2022 (A+ GRADED 100% VERIFIED). ACLS 2022 (A+ GRADED 100% VERIFIED). ACLS 2022 (A+ GRADED 100% VERIFIED).
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ACLS 2022 (A+ GRADED 100% VERIFIED)Targeted temperature management - adults. - ANS 32 - 36 C (89.6 - 95.2F).
Titrate inspired O2 to... - ANS the lowest level required to achieve arterial O2 sat 94% + to
avoid complications associated with O2 toxicity.
Mean arterial pressure goal - ANS 65 mm Hg or greater
A team leader should be able to explain why it is essential to... - ANS push hard and fast in
center of chest.
ensure complete chest recoil.
minimize interruptions in compressions.
avoid excessive ventilation.
A team member should be... - ANS clear about role assignments.
prepared to fill their responsibilities.
well practiced in resuscitation.
knowledgeable about algorithms.
committed to success.
Resuscitation triangle (3) - ANS 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.
Airway: Opens airway, provides bag-mask ventilation, inserts airway adjuncts as appropriate.
Leadership roles (3) - ANS 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? - ANS Yes, unnecessary
compressions are less harmful than failing to provide compressions when needed.
Agonal gasps - ANS 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 - ANS 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 - ANS 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) - ANS Aortic relaxation (diastolic) - right atrial relaxation
(diastolic) pressure.
Correlates 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.
Quality compressions - ANS compress 2 in (5 cm).
Rate 100-120 BPM.
Allow complete recoil.
single rescuer CPR - ANS Cardiac arrest: Call for help, get AED, return to pt, start CPR.
Hypoxia (drowning): give 2 mins CPR before activating emergency response system.
Primary Assessment - ANS Assess before action!!!
Airway, Breathing, Circulation, Disability (Alert, Voice, Painful, Unresponsive), Exposure
(remove clothing to examine).
Secondary Assessment - ANS 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 - ANS 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 - ANS Hypoxia and hypovolemia.
PEA hypovolemia - ANS 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 - ANS sudden symptoms of insufficient blood supply to the heart
indicating unstable angina or acute myocardial infarction
Tx for PE - ANS Fibrinolytics.
Tx for cardiac tamponade - ANS pericardiocentesis.
tx for Tension pneumo - ANS needle aspiration and chest tube placement.
Drug overdose/toxic exposure - ANS may lead to peripheral vascular dilation and/or myocardial
dysfunction with hypotension.
Tx: prolonged basic CPR, etracorporeal CPR, intra-aortic balloon pumping, renal dialysis, IV
lipid emulsion, digoxin, glucagon, bicarbonate, transcutaneous pacing, correction of electrolyte
imbalances.
Normal respiratory rate.
Normal tidal volume. - ANS 12-16/min.
8-10 ml/kg.
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