Full Answer
How do I take an accurate pulse?
To get an accurate pulse: 1 Take your pulse the same time each day. 2 Sit down and rest several minutes before taking your pulse. 3 Count your pulse for a full 60 seconds unless told otherwise by your health care provider. More ...
What kind of rhythm does the ECG monitor display?
The ECG monitor displays the lead II rhythm shown here, and the patient has no pulse. Another member of your team resumes chest compressions, and an IV is in place.
When applied the cardiac monitor initially showed ventricular tachycardia then quickly changed to?
When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. The patient has return of spontaneous circulation and is not able to follow commands. Which immediate post-cardiac arrest care intervention do you choose for this patient?
What is the pulse rate for a 58 year old man?
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%.
Which best describes the length of time it should take to perform a pulse check during the BLS assessment?
Assess for breathing and pulse. Simultaneously check the carotid pulse for a minimum of 5 seconds—but no more than 10 seconds—to determine if there is a pulse present. It's important to minimize delay in starting CPR, so take no more than 10 seconds to assess the patient.
Which of these test should be performed for a patient with suspected stroke within 25 minutes of hospital arrival?
Within 25 minutes, the CT scan should be completed and should be assessed within the patient's first 45 minutes in the hospital.
Which is the maximum interval you should allow for an interruption?
Introduction: Current guidelines for cardiopulmonary resuscitation (CPR) recommend that interruptions of chest compressions should not exceed 10 s.
Which of these tests should be performed for a patient with suspected stroke within 20 minutes of hospital arrival?
Obtain a 12-lead ECG and perform neurologic screening assessment. Do not delay CT, obtain CT without contrast within 20 minutes of patient arrival. A neurologic assessment by the stroke team or designee should be done within 20 minutes of patient arrival to the ED.
What time specific goal should occur within 10 minutes of a stroke patients arrival to the ED?
The goal of the stroke team, emergency physician, or other experts should be to assess the individual with suspected stroke within 10 minutes of arrival in the emergency department (ED). The CT scan should be completed within 10-25 minutes of the individual's arrival in the ED and should be read within 45 minutes.
What is the time goal for how quickly you should complete a fibrinolytic checklist once the patient arrives in the emergency department?
The door to needle goal for fibrinolysis is 30 minutes.
How long should you limit interruptions during chest compressions?
Since the 2005 update, resuscitation guidelines recommend a sequence of 30 compressions followed by a 5-s interruption for 2 ventilations, the standard 30:2 CPR. During CPR chest compressions are interrupted for various reasons including rescue breaths, rhythm analysis, pulse-checks and defibrillation.
What is the maximum time for pausing chest compressions?
As we have already mentioned, many people wonder how long it is okay to pause between chest compressions when giving someone CPR. You should pause for no longer than 10 seconds at a time to avoid starving the body of oxygen between chest compressions.
Which is the maximum interval you should allow for an interruption in chest compressions ACLS?
NOTE: Minimize interruptions to chest compressions to less than 10 seconds! DO NOT check pulse or analyze heart rhythm after a shock. Resume CPR immediately after a shock and continue for 5 cycles prior to rhythm analysis and pulse check.
What is the maximum time from last known normal when intra arterial thrombolysis?
The time from last seen normal to treatment with intravenous alteplase should be under 3 hours for eligible patients with the use of standard eligibility criteria.
What is the door to needle time?
The door-to-needle time (DNT), the time from presentation of patient with symptoms at the hospital to the start of IVT, can therefore be used to evaluate the quality of the acute stroke care provided by each hospital [4].
Which test should be performed for a patient with suspected stroke as early as possible but no more than 20 minutes of hospital arrival?
A noncontrast CT scan of the brain is the diagnostic test of choice to rule out hemorrhagic stroke in an emergency. Time is critical, as studies show that delays in administering tPA correlate with poorer patient outcomes. The patient should undergo a CT scan within 25 minutes of arrival at a stroke center.
How to measure pulse rate?
Record your pulse rate. Use the tip of your index and third finger to feel the pulse in your radial artery between your wrist bone and the tendon on the thumb side of your wrist.
How to get a pulse?
To get an accurate pulse: Take your pulse the same time each day. Sit down and rest several minutes before taking your pulse. Count your pulse for a full 60 seconds unless told otherwise by your health care provider.
How to take a pulse on the neck?
Your carotid pulse can be taken on either side of your neck. Put the tip of your index and long finger in the groove of your neck along your windpipe to feel the pulse in your carotid artery. Do not press on the carotid artery on both sides of your neck at the same time. This may cause you to feel lightheaded or dizzy, or possibly faint.
How to check radial pulse?
With your palm up, look at the area between your wrist bone and the tendon on the thumb side of your wrist. Your radial pulse can be taken on either wrist. Use the tip of the index and third fingers of your other hand to feel the pulse in your radial artery between your wrist bone and the tendon on the thumb side of your wrist. ...
Where to take pulse at Mayo Clinic?
You can take your pulse using the radial artery in your wrist or the carotid artery in your neck. Some medical conditions can be a factor in determining the best place for you to take your pulse. For example, if you have heart disease ...
