ALS- Pre assessment Post Cardiac Arrest

Current recommendations suggest that hypotension should be treated in a post-cardiac arrest patient when the systolic blood pressure is less than 90 mmHg or the mean arterial pressure (MAP) is less than:

65 mmHg

A 32-year-old patient (30 weeks' gestation) goes into cardiac arrest. The fundus is above the umbilicus. How can team members maximize the effectiveness of chest compressions for this patient?

"Position the patient in the supine position and provide manual left uterine displacement"

A 28-year-old patient (27 weeks' gestation) was admitted to the intensive care unit for treatment of pneumonia-related sepsis. The patient goes into cardiac arrest. When should resuscitative cesarean delivery (RCD) be performed?

"Within 5 minutes from the time of arrest"

A patient in cardiac arrest has received one dose of lidocaine. What dosage should the patient receive the next time lidocaine is administered?

0.5 to 0.75 mg/kg

Which of the following are reversible causes of cardiac arrest?

Acidosis Hypokalemia Hyperkalemia Hypoxia

The pathophysiologic consequences of cardiac arrest comprise what key areas?

Brain injury Systemic dysfunction Myocardial dysfunction

What assessments may be included as part of a multimodal approach to neuroprognostication in a comatose post-cardiac arrest patient?

Certain biomarkers Brain computed tomography (CT) Quantitative pupillometry Somatosensory evoked potentials (SSEP)

In what instances might extracorporeal cardiopulmonary resuscitation (ECPR) be an appropriate intervention for a patient in cardiac arrest?

Drug overdose Pulmonary embolism Hypothermia

A patient in cardiac arrest with a nonshockable rhythm is receiving high-quality CPR. When should compressions be paused to conduct a rhythm check?

Every 2 minutes

What are causes of cardiac arrest in a pregnant patient?

Fever Eclampsia Anesthesia

A patient has gone into cardiac arrest. Prior to the arrest, a 12-lead ECG showed flat T waves, prominent U waves and prolonged QT intervals. What underlying cause should you suspect?

Hypokalemia

The resuscitation team responds to an in-hospital cardiac arrest. What actions would they perform immediately?

Identify arrest rhythm on monitor Ensure that high-quality CPR is in progress

A post-cardiac arrest patient has a systolic blood pressure of less than 90 mmHg. What interventions should be considered next?

Mechanical circulatory support 1- to 2-L intravenous (IV) isotonic crystalloid fluid bolus Vasopressor infusion with epinephrine (2-10 mcg/min)

A post-cardiac arrest patient who experienced in-hospital cardiac arrest is unable to follow verbal commands. Which interventions would be appropriate for this patient? Select all correct options that apply.

Obtain brain imaging Initiate targeted temperature management (TTM) Establish EEG monitoring

What initial interventions are appropriate for the initial stabilization of a patient who has achieved return of spontaneous circulation (ROSC)?

Place an endotracheal tube; if endotracheal tube already in place, confirm proper position and patency Ensure adequate perfusion Support ventilations to keep carbon dioxide levels in physiologic range

A 78-year-old patient who had knee replacement surgery 2 days ago goes into cardiac arrest. Which underlying cause should be given priority consideration?

Pulmonary embolism

The underlying cause of primary pulseless electrical activity (PEA) can be related to inadequate volume, impaired myocardial contractility or both.

True

Which of the following factors should be taken into consideration when determining whether to continue the resuscitation effort?

The duration of the resuscitation effort Physiologic data The underlying cause of the arrest The initial cardiac arrest rhythm

Which of the following rhythms are shockable?

Ventricular fibrillation Pulseless ventricular tachycardia

What is the subsequent dose of amiodarone for a patient in cardiac arrest?

"150 mg"

When should decision-making related to continuation or withdrawal of life-sustaining treatments for a patient who remains comatose after cardiac arrest take place?

"Following completion of targeted temperature management (TTM) therapy""