Triage, Shock, CPR

There should ideally be _____ staff members for an effective CPR.

3 - 5 staff members

What does ROSC stand for?

Resuscitation of Spontaneous Circulation

What are the three goals of CPR?

• Return of spontaneous circulation (ROSC)

• Return of spontaneous respiration

• Prevention of permanent CNS dysfunction

Define an agonal breath.

gasping for air before dying, not considered adequate breathing; initiate CPR

What does BLS stand for? What does it consist of?

Basic Life Support

• Chest compressions, airway, breathing

Instead of ABC, what way do we want this term to actually be?

CAB

ABC stands for?

Airway, Breathing, Circulation

If you are the only person around during a pet that is coding you automatically need to start:

chest compressions

What is the first thing we do when we believe a patient has coded?

shake them and shout for help if unresponsive

What is a thoracic pump? Example?

Chest compressions used on round chested medium and large dogs

• Golden Retrievers

• Rotties

What is a cardiac pump?

chest compressions done in keel chested medium to large dogs

• greyhound

• doberman

• borzoi

2-handed method can ________ the heart in small pets. Instead we use the one handed method.

overcompress

When doing CPR you must do how many compressions/min?

100 - 120 compressions/min

T/F There needs to be a full recoil of the chest in order to be a true compression.

true

1 cycle of CPR is considered ____ mins.

2 mins

When switching techs for compressions, what do we need to after those two minutes are up?

• determine if ROSC

• asses ECG

• auscult for heartbeat

T/F Internal compressions should be done in all patients where adequate circulation is not achieved within 5 minutes of external compressions.

true

What are some patients we would immediately used internal compressions on and not external compressions?

• Rib fractures

• Penetrating chest wounds

• Pneumothorax

• Pericardial effusion

• Pleural effusion

• Diaphragmatic hernia

• Intraoperative cardiac arrest

IAC stands for?

Interposed Abdominal Compressions

T/F we continue chest compressions during intubation

true

How often do we give a patient a breath under CPR?

1 breath every 6 secs

Increases intrathoracic pressure thus decreasing venous return to heart, but can also cause:

• lower in coronary perfusion

• decrease CO2

• cerebral vasoconstriction

• decrease cerebral blood flow

What kind of drug is epinephrine?

Catecholamine that causes peripheral vasoconstriction

• Works by effecting adrenergic receptors (alpha 1&2, beta 1&2)

What are two types of antiarrythmics used in CPR?

• lidocaine

• amiodarone

What drug was thought to aid in cardiac contractility but actually causes “stone heart”

Calcium Gluconate

What drugs are reversed using Nalaxone?

• opioids

What drug is reversed using yohimbine?

xylazine

What drugs are reversed using atipamezole?

• dexmeditomidine

• detomidine

• romifidine

What drugs are reversed by Flumazenil?

• benzodiazepines

  • valium (diazepam)

  • Versed (midazolam)

What does asystole mean?

flatline

What does PEA stand for?

Pulseless electrical activity

What does VF stand for?

Ventricular fibrilation

What two cardiac rhythms are shockable?

• Pulseless VT

• Ventricular Fibrillation

ABCDEFG stands for?

• Airway

• Breathing

• Circulation

• Drugs

• Ecg

• Fluids

• Get a pen!