Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

CFPC - E > ACLS > Flashcards

ACLS Flashcards

1
Q

quand défibriller (quelles arrythmies)

A
  • ventricular fibrillation (V fib)
  • pulseless ventricular tachycardia (V tach)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

pediatric resuscitation do not forget to use

A

Braeslow tape

get the patient’s weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

quand donner de l’épi ASAP

A
  • Asystole
  • Pulseless electrical activity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

combien d’épi (posology complète)

A

1mg épinephrine IV ou IO q 3 à 5 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

défib joules

A

bi-phasique: 120 à 200 J

monophasic: 360 J

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

à quel fréquence regarder le rythme

A

q 2 min après CPR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Si rythme shockable it means c’est quel rythme

A

V fib
ou

pulseless Vtach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

on altèrne quels rx dans Vfib / pVT

A

épi shock amio

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

amio posologie dans Vf or PVT

A

amiodarone 300mg IV ou IO bolus (première dose)

amiodarone 150mg IV ou IO bolus 2e dose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

algo pour VF pVT

A

start CPR
attach monitor / defib
give O2 install I V access (MOVIE)

Shock (do not delay shock and CPR for IV line)
CPR 2 min
shock
CPR + Epi
shock
Amio
shock
Epi

etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Causes reversibles (5H 5T)

A

Hypovolemia
Hypoxia
H ion (acidosis)
Hypo-hyperK
Hypothermia

Thrombose - coronary (IM)
Thrombose - pulmonary (EP)
Tension pneumothorax
Tamponade
Toxins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Causes reversibles (5H)

A

Hypovolemia
Hypoxia
H ion (acidosis)
Hypo-hyperK
Hypothermia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Causes reversibles (5T)

A

Thrombose - coronary (IM)
Thrombose - pulmonary (EP)
Tension pneumothorax
Tamponade
Toxins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

asystole /PEA algo

A

EPI ASAP
CPR
EPI
CPR

until shockable or ROSC
or stopping REA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

signs of ROSC (return of spontaneous circulation) (4)

A
  • Pulse
  • BP
  • increase in PETCO2 (above 40mmHg)
  • spontaneous arterial pressure (if monitoring in place)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

CPR quality pushing

A

at least 5 cm (2 inches)

speed: 100-120 bpm

allow complete chest recoil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

CPR quality compressors

A

minimize interruptions

change compressor q 2 min or sooner

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

if no advanced airway (no intubation)
compression-ventilation ratio

A

30: 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

if impossible to give amiodarone give which medication and posologie

A

lidocaine IV IO
first dose: 1mg per kg (1 to 1.5mg)
2nd dose: 0.5mg per (0.5 to 0.75mg)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

PEA narrow vs wide QRS - where is the prob (hypothesis)

A

Narrow QRS = RV prob
bc the LV is still pumping ++

Wide QRS = LV prob

21
Q

PEA QRS Wide (LV Problem) ddx

A

Severe hyperK

Sodium-channel blocker (eg. TCA) toxicity

Acute MI (pump failure)

22
Q

PEA QRS Narrow (RV Problem) ddx

A

Cardiac tamponade

Tension pneumothorax

Mechanical hyperinflation (ventilation managment)

Pulmonary embolism

Severe hypovolemia/hemorrhage

Acute MI (myocardial rupture)

23
Q

PEA QRS Narrow (RV Problem) tx

A

FLUIDS + Consider causes

24
Q

PEA QRS Wide (LV Problem)

A

IV Calcium + IV Bicarbonate boluses + Consider causes

25
tachyarrthytmia with a pulse: heart rate is typically above
150
26
Tachycardia with a pulse - what to do when pt arrives
MOVIE Monitor Oxygen IV access ECG
27
Tachycardia with a pulse sx that pt is UNSTABLE (5)
HypoTA Acutely altered mental status Signs of shock Ischemic chest discomfort Acute heart failure
28
Tachyarrhytmia - unstable pt what to do
Tachy + UNSTABLE + narrow QRS OR wide QRS: Synchronized CARDIOVERSION IF unstable + regular narrow complex: consider adenosine (for supraventricular tachycardia (SVT))
29
Tachyarrhytmia - Tachycardia >150 NARROW COMPLEX STABLE REGULAR tx (2)
Vagal maneuvres (souffler dans une paille) ADENOSINE
30
Tachy + UNSTABLE pt + narrow QRS OR wide QRS
Synchronized cardioversion
31
Tachy + irregular + stable pt dignostic
Atrial FIB
32
Tachy + irregular + stable tx
Bb or ccb but almost aways BB cause you dont know the FEVG
33
Tachy + UNSTABLE pt + narrow QRS 2nd tx that you might consider
1st always synchronized cardioversion 2nd tx to consider adenosine ONLY IF regular narrow complex
34
Tachy + STABLE pt + WIDE QRS tx
consider: adenosine IF regular and monomorphic antiarrhytmic infusion
35
if pt conscious, may consider sedation with which Rx
PAIN fentanyl 1 μg/kg + slow 0.5 mg/kg lidocaine IV 1 min before sedative Sedative: Etomidate superior to propofol - Etomidate 0.1 mg/kg, followed by etomidate second dose of 0.05 mg/kg just prior to shock - VS propofol 1 mg/kg, followed by propofol second dose of 0.5 mg/kg just prior to shock
36
syncronized cardioversion joules
biphasic if regular narrow OR wide: (flutter, VT with pulse): 100J if narrow irregular (A fib): 120 J
37
adenosine dose
1st dose: 6mg IV push + NS flush 2nd dose: 12mg IV push
38
antiarrhytmic infusion for STABLE WIDE QRS
1. Amiodarone IV 150mg over 10 min Repeat if VT recurs Maintenance infusion: 1mg/min for the first 6 hours AVOID if prolonged QT: - procainamide - sotalol procainomide IV
39
brady cardio tx
1. Atropine IV 1st dose: 1mg bolus repeat q 3-5 min max 3 mg If ineffective: - transcutanous pacing AND OR - dopamine infusion 5-20mcg/kg or Epinephrine infusion 2-10mcg/kg
40
Atropine is what type of drug
anticholinergic = antimuscarinic excessive vagal activation on the heart inhibiting the parasympathetic nervous system
41
bradyarrthytmia causes (4)
MI drugs or toxico: ccb / bb / digoxin hypoxia E abn: hyperK
42
when to suspect digoxin toxicity
bradycardia + GI sx
43
what to avoid in cocaine intoxication
bb
44
how to treat digoxin toxicity
antibody fragments (Digibind) or if brady - the usual (atropine + pace)
45
severe hyperk tx
1. Calcium Gluconate 100 mg/mL (10%) 3g (30mL) IV over 5-10 mins Repeat every 5 mins PRN if ECG changes persist or recur 2. Insulin
46
severe k is above
K>6.5
47
severe hyperk tx General tx (without posologies)
C BIG K DROP C: calcium gluconate B: beta agonist like ventolin nebulized or sodium bicarbonate I: insulin G: glucose K kayexalate (chronic hyperk) D: diuretic ROP : renal dialysis
48
cocaine intox tx
ABC + treat emergencies: - Diazepam 5mg IV q3-5 mins for agitation (and hypertension) - Phentolamine 1-5mg IV for hypertension Avoid beta-blockers *** - Sodium bicarbonate 1-2mEq/kg IV push for QRS widening

CFPC - E (66 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions