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Flashcards in ACLS Deck (31):
1

In A-fib, will you see a QRS COMPLEX?

YES

2

In V-fib, will you see a QRS COMPLEX?

NO!

3

Where is lead 1 placed?

4th intercostal space to the right of the sternum

4

Where is lead 2 placed

4th intercostal space to the left of the sternum

5

Where is lead 4 placed

5th intercostal, mid clavicular ( below nipple line)

6

Where is lead 3 placed

Midway between leads 2&4

7

Where is lead 5 placed

5th intercostal space, anterior axillary line

8

Where is lead 6 placed

5th intercostal space mid axillary

9

What interventions should be performed for pulseless electrical activity

1. Identify the cause
2. Start CPR
3. 100% oxygen
4. Administer EPINEPHRINE
5. IV fluids
6. ACLS PROTOCOL

10

What drugs can be given for ventricular fibrillation/ tachycardia

{VEALM}
1. Vasopressin
2. Epinephrine
3. Amiodarone
4. Lidocaine
5. Magnesium

11

What drugs can be administered for PEA/ asystole

Epi

12

What drugs can be administered to treat bradycardia

1. Atropine
2. Epinephrine
3. Dopamine

13

What drugs can be administered to treat tachycardia

Adenosine
Amiodarone
Beta blockers
Digoxin
Dilitiazem
Magnesium
Verapamil

14

What drugs can be administered to treat ACUTE CORONARY SYNDROMES

MORPHINE, OXYGEN,NITROGLYCERIN, ASPIRIN, fibrinolytic therapy, heparin, beta blockers.

15

What is the first line drug of choice for symptomatic bradycardia

Atropine
IT MAY BE BENEFICIAL IN AV BLOCK OR ASYSTOLE!

16

What is the second line drug of choice for symptomatic bradycardia

DOPAMINE

17

What does dopamine treat

Dopamine is the second line drug of choice for symptomatic bradycardia and, it is also used for hypotension with signs and symptoms of shock.

18

What is epinephrine indicated for

1. Cardiac arrests ( VF, asystole, PEA)
2. Symptomatic bradycardia, (after atropine alternative to dopamine.)
3. Severe hypotension
4. Anaphylaxis

19

What drugs are used for tachycardia

Dilitiazem
Adenosine
Metoprolol
Amiodarone

20

Dilitiazem is indicated for what

Tachycardias such as A- fib OR A- flutter

21

Adenosine is indicated for what condition

1st drug of choice for supraventricular tachycardia ( SVT)

22

What can be done for SVT

You can give adenosine while preparing to cardiovert

23

What are the indications for metoprolol

1. Suspected MI or unstable angina
2. 2nd line agent for SVT refractory to adenosine
3. To reduce myocardial ischemia in MI patients with elevated HR and/or BP
4. Emergency antihypertensive therapy for acute hemmorhagic or ischemic stroke.

24

What is amiodarone indicated for

LIFE THREATENING DYSRHYTHMIAS
1. VF/ pulseless
2. VT unresponsive to shock, CPR, and vasopressors
3. Recurrent hemodynamically unstable VT

25

What drug prolongs the QT interval

Procainamide

26

What are contraindications for amiodarone therapy

Bradycardia
2nd and 3rd degree block
Meds that prolong QT interval

27

What is lidocaine indicated for

1. Alternative to amiodarone in VF/VT arrest
2. Stable monomorphic VT
3. Malignant PVC's
4. Can be used if Torsades is suspected

28

What is magnesium indicated for

1. Torsades
2. Life threatening ventricular dysrhythmias in digitalis OD

29

Normal PR interval

0.12-0.20 sec

30

Normal QRS complex

0.04-0.12 sec

31

Normal QT INTERVAL

0.36-0.44 sec