CPR Special Resuscitation Circumstances 2

Question 1

A pregnant patient at 28 weeks gestation is in cardiac arrest. What is the recommended uterine displacement technique during CPR?

Accepted Answer

Place a wedge under the left hip to tilt 15-30 degrees left

Answer

Left lateral uterine displacement of 15-30 degrees relieves aortocaval compression while maintaining effective CPR compressions.

Question 2

Which dysrhythmia is most commonly associated with hypothermic cardiac arrest at core temperatures below 30°C (86°F)?

Accepted Answer

Ventricular fibrillation

Answer

Ventricular fibrillation is the most common dysrhythmia in severe hypothermia and is the primary shockable rhythm encountered.

Question 3

A patient is rescued from a house fire and is in cardiac arrest with suspected cyanide toxicity. After standard ACLS, what antidote should be administered?

Accepted Answer

Hydroxocobalamin 5g IV

Answer

Hydroxocobalamin (Cyanokit) 5g IV is the preferred cyanide antidote in smoke inhalation victims as it does not cause methemoglobinemia.

Question 4

During resuscitation of a patient with tension pneumothorax, which finding confirms successful needle decompression?

Accepted Answer

Rush of air upon needle insertion and return of pulses

Answer

A rush of air confirming pressure release followed by return of spontaneous circulation indicates successful decompression of a tension pneumothorax.

Question 5

In pediatric drowning resuscitation, which modification to standard CPR protocol is recommended?

Accepted Answer

Begin with 5 rescue breaths before starting chest compressions

Answer

Drowning victims suffer hypoxic cardiac arrest, so the pediatric drowning protocol prioritizes 5 initial rescue breaths before compressions.

(CPR) Certified Paramedic Response Practice Test

(CPR) Certified Paramedic Response Practice Test

CPR Special Resuscitation Circumstances 2