CH. 13

Question 1

Answers to Assessment in Action Questions

Answer 1

Answers to Assessment in Action Questions

1. Answer: B Early CPR and defibrillation
2. Answer: A resume chest compressions.
3. Answer: B 10 seconds
4. Answer: D 2 inches to 2.4 inches (5 cm to 6 cm); 100 to 120
5. Answer: B 30:2
6. Answer: C Brachial
7. Answer: C 2
8. Answer: C Chest compressions
9. Answer: After you have initiated CPR in the field, you are committed to continuing resuscitation efforts until one of the following events occur: the patient regains spontaneous breathing and circulation; you transfer care to another BLS, ALS, or other emergency care provider; you are physically too tired to continue; or you receive medical direction to stop.
10. Answer: Gastric distention can be lethal, especially in an unresponsive patient who requires artificial ventilation. The additional air displaced into the stomach by performing ventilations too fast or with too much force may cause the patient to vomit during CPR, or make it more difficult for you to deliver breaths because the stomach is pressing up on the diaphragm.

Question 2

Unit Assessment
1. What are the five links in the chain of survival?

2. The automated external defibrillator (AED) is not indicated for use in infants younger than ____ month(s) of age.
3. If a patient is breathing on his or her own and has no signs of trauma, you should place him or her in the _______________ position.
4. When is the best time to switch positions when performing two-person CPR?
5. A(n) _________________ is a valve device placed between the endotracheal tube and a bag-mask device; it is designed to limit the air entering the lungs during the recoil phase between chest compressions.
6. What are the four steps in pediatric basic life support?
7. Under what situations would you not begin CPR?
8. Patients with ____________________ are able to exchange adequate amounts of air but still have signs of respiratory distress.
9. The ____________________ is the preferred way to dislodge a severe airway obstruction in conscious adults and children older than 1 year of age.
10. _________________ are the preferred method of removing a foreign body airway obstruction in women in advanced stages of pregnancy and in very obese patients.

Answer 2

Unit Assessment Keyed for Instructors
1. What are the five links in the chain of survival?
Answer: Early access, early CPR, early defibrillation, early advanced care, and integrated post-arrest care
p 415
2. The automated external defibrillator (AED) is not indicated for use in infants younger than ____ month(s) of age.
Answer: 1
p 416
3. If a patient is breathing on his or her own and has no signs of trauma, you should place him or her in the _______________ position.
Answer: recovery
p 421
4. When is the best time to switch positions when performing two-person CPR?
Answer: After ventilations, or every 2 minutes
p 426
5. A(n) _________________ is a valve device placed between the endotracheal tube and a bag-mask device; it is designed to limit the air entering the lungs during the recoil phase between chest compressions.
Answer: impedance threshold device (ITD)
p 428
6.What are the four steps in pediatric basic life support?
Answer:
• Determine responsiveness
• Assess circulation
• Assess airway
• Assess breathing
p 430
7. Under what situations would you not begin CPR?
Answer: Rigor mortis, dependent lividity, decomposition, evidence of nonsurvival injury, patient has an advanced directive stating no CPR
p 436
8. Patients with ____________________ are able to exchange adequate amounts of air but still have signs of respiratory distress.
Answer: mild (partial) airway obstruction
p 438
9. The ____________________ is the preferred way to dislodge a severe airway obstruction in conscious adults and children older than 1 year of age.
Answer: abdominal-thrust maneuver (Heimlich maneuver)
p 439
10. _________________ are the preferred method of removing a foreign body airway obstruction in women in advanced stages of pregnancy and in very obese patients.
Answer: Chest thrusts
p 439