ACLS Flashcards
(11 cards)
1
Q
How to treat unstable A-Fib?
A
Synchronized cardioversion
2
Q
Rythms that you synchronize cardiovert:
A
— A-Fib
— A-Flutter
— Stable VT
3
Q
How to synchronize cardiovert (stable pt) on the Propaq MD:
A
- Press sync button — allows for dot to appear on the R-wave ( to avoid a q-on-T phenz)
- Select nrg @ 50-200J
- Charge
- Deliver shock
4
Q
How to treat unstable VT/VF?
A
Shock 120-200J
5
Q
VT/VF Cardiac Arrest Steps
A
- CPR/attach defib
- Shock
- CPR/IV access
- Shock
- CPR/Epi 1mg/ETT
- Shock
- CPR/Amio 300mg or Lido
- H’s & T’s
**** Two shocks before Epi admin ****
6
Q
H’s and T’s: The H’s
A
- Hypovolemia
- Hypoxemia
- Hydrogen ion access (acidosis)
- Hyper/Hypokalemia
- Hyper/Hypoglycemia
7
Q
H’s and T’s: The T’s
A
- Tamponade
- Tension Pneumo
- Thrombosis - PE
- Thrombosis - MI
- Toxins
8
Q
How to treat stable V-Tach?
A
- Vagal maneuvers
- Synchronized Cardioversion
9
Q
What are the three shockable rythms?
A
— V-Tach
— V-Fib
— pSVT
10
Q
How to treat stable into unstable pSVT?
A
- Vagal maneuvers/hold breath for a few seconds/cold water to the facE
- Immediate Cardioversion (symptomatic with a pulse)
- Consider Adenosine (6 & 12 mg followed by 10-20 cc NS push)
- Cards consult for a pacemaker
11
Q
Treatment for Unstable Complete Heart Block
A
Symptomatic pt = pace (If atropine 0.5 mg q3-5 min doesn’t work)
— Lead I, II, III
— Turn pacer on:
—- HR up to 80
—- mA @30, so increase til reach 100% capture
with additional 10% to 90bpm (Propaq MD sim)
