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Wilson > ACLS > Flashcards

ACLS Flashcards

1
Q

Pre-Arrest intervention

A

initiation of Rapid Reponse Team

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2
Q

“No Flow” intervention

A

Prompt initiation of BLS

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3
Q

“Low Flow” intervention

A

high quality chest compressions for myocardial and cerebral perfusion

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4
Q

“Postresuscitation” intervention

A

Temperature management, blood pressure management (no hypotension); preserve neurologic function

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5
Q

A “General Impression” is…

A

ABCs–Appearance, (Work of) Breathing, Circulation

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6
Q

Primary Survey is

A

rapid hands on assessment. “See it and treat it”

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7
Q

AVPU for assessing responsiveness

A

Alert
Responds to Verbal stimuli
Responds to Painful stimuli
Unresponsive

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8
Q

For responsive patients, primary survey starts with..

A

ABC

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9
Q

For unresponsive patients, primary survey starts with…

A

CAB

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10
Q

Seconday Survey

A 
Airway (artificial)
Breathing (intubating)
Circulation (IV/IO)
Differential Diagnosis (PATCH4MD)
Evaluate interventions
Facilitate family
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11
Q

Intubation 2-step verification

A
  1. Color change in colorimetric CO2 detector

2. Bilateral breath sounds

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12
Q

Normal End-Tidal CO2 range

A

35-40

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13
Q

Low levels of CO2 indicates

A

hyperventilation or hypotension

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14
Q

High levels of CO2 indicates

A

hypoventilation

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15
Q

Nasal Cannulas provide

A

1-5 L/min

23-32% oxygen

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16
Q

High Flow Nasal Cannulas provide

A

up to 10 L/min

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17
Q

Partial Rebreather Masks provide

A

35-60% oxygen with flow rates of 6-10 L/min

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18
Q

Nonrebreather Masks provide

A

60-80% oxygen with flow rates of at least 10 L/min

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19
Q

Oral Airway measurement

A

measure from mouth to angle of the jaw

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20
Q

Nasal Airway measurement

A

from septum to tip of ear…Stop if it does not slid gently

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21
Q

Leads II, III, AVF show

A

inferior aspects of the heart

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22
Q

Leads I, AVL, V5, V6 show

A

lateral aspects of the heart

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23
Q

Leads V1 and V2 show

A

septal aspects of the heart

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24
Q

Leads V3 and V4 show

A

anterior aspects of the heart

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25
Q

PATCH-4-MD—-“P”

A

Pulmonary embolism–anticoagulants?Surgery?

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26
Q

PATCH-4-MD—-“A”

A

Acidosis–ventilation, correct acid-base disturbances (sodium bicarb)

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27
Q

PATCH-4-MD—-“T”

A

Tension pneumothorax–needle decompression

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28
Q

PATCH-4-MD—-“C”

A

Cardiac Tamponade–pericardiocentesis

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29
Q

PATCH-4-MD—-“H”s

A

Hypovolemia–replace intravascular volume
Hypoxia–ensure adequate oxygenation and ventilation
Heat/cold–cooling/warming methods
Hypo/Hyperkalemia–monitor serum glucose levels and correct disturbances

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30
Q

PATCH-4-MD—-“M”

A

Myocardial Infarction–reperfusion therapy

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31
Q

PATCH-4-MD—-“D”

A

Drug overdose/accidents–antidote/specific therapy

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32
Q

Pacemaker placement can cause

A

cardiac tamponade

33
Q

Epinephrine is the

A

1st line dead person drug

34
Q

Epinephrine is given IV push in amounts of

A

1mg every 3-5 minutes

35
Q

Amiodarone is used in

A

pVT/VF

36
Q

Amiodarone IVP amount

A

300mg, followed by dose of 150mg

37
Q

Most common cause of PEA

A

hypovolemia

38
Q

Joules amount used in a code at Wilson

A

200/300/360j

39
Q

During cardiac arrest, follow each drug with a

A

20mL fluid flush

40
Q

Post-Cardiac Arrest temperature management between

A

32-36 degrees Celsius

41
Q

Key questions for tachycardia

A
  1. Asymptomatic? Symptomatic but stable? Symptomatic and unstable? Pulseless?
  2. QRS wide or narrow?
  3. Ventricular rhythm regular or irregular?
42
Q

Monomorphic wide QRS drug given 1st

A

adenosine..administered to try to identify the origin of the tachycardia. No effect if the rhythm is VT

43
Q

Amiodarone

A

150mg IV bolus over 10 minutes

repeat every 10 minutes as needed

44
Q

Most common side effects of amiodarone

A

hypotension and bradycardia

45
Q

Amiodarone may

A

prolong the QT interval

46
Q

Procainamide dosing

A

20mg/min IV infusion or 100mg every 5 minutes

47
Q

TdP drug is

A

magnesium

48
Q

TdP is caused by

A

QT interval becoming too long

49
Q

SVT and AFlutter joules for cardioversion

A

50 joules

50
Q

Afib joules for cardioversion

A

120 joules

51
Q

“Other” rhythms joules for cardioversion

A

100 joules

52
Q

Bradycardia first drug

A

Atropine

53
Q

Atropine dosing

A

0.5mg IVP every 3-5 minutes for a total of 3mg

54
Q

Atropine must be given with…

A

confidence or it will cause rebound bradycardia

55
Q

Epinephrine infusions need to run at

A

2-10mcg/min…run through central line (due to risk of tissue sloughing)

56
Q

Dopamine infusion needs to run at

A

2-10 mcg/kg/min

57
Q

Electrical Capture is

A

Spike QRS

58
Q

Mechanical Capture is

A

Pulse R side of the body

59
Q

Pacing pads are good for

A

24 hours on skin, 8 hours for for pacing

60
Q

Unstable Angina and NSTEMI is differentiated by

A

troponin level

61
Q

ECG “STEMI” findings

A

elevated in 2 contiguous leads and elevated biomarkers

62
Q

ECG “NSTEMI” findings

A

ST elevation not present but biomarkers elevated

63
Q

ECG “UA” findings

A

ST elevation not present, cardiac biomarkers not elevated

64
Q

Inferior wall infarctions need a

A

Right Sided ECG

65
Q

Nitroglycerin used to

A

deal with cause of chest pain

66
Q

Give Nitro only after

A

12-lead ECG done, blood pressure taken

67
Q

Do not give nitro if

A

BP is less than 90 or 30 less than baseline, phosphodiesterase inhibitors, suspected RVI

68
Q

Morphine Sulfate dosage for NSTEMI

A

1-5mg IV repeat every 5-30 minutes

69
Q

Morphine Sulfate dosage for STEMI

A

4-8mg IV every 5-15 minutes as needed

70
Q

Morphine Sulfate causes patients to

A

feel relaxed with no pain

71
Q

Aspirin dosage for chest pain

A

325 mg chewed

72
Q

Stroke Chain of Survival (D)

A 
Detection
Dispatch
Delivery
Door
Data
Decision
Drug
Disposition
73
Q

Most common type of stroke is

A

ischemic

74
Q

IV tPA must be administered within

A

3 hours of Last Known Well

75
Q

Stroke “FAST” test

A

Facial droop
Arm drift
Speech
Time of onset

76
Q

Non contrast CT must be done within how many minutes for a stroke?

A

25 minutes

77
Q

Adenosine IVP dosage

A

6mg IV SLAM, followed by 12mg IVP and 12mg IVP

78
Q

Cardizem dosage

A

.25mg/kg IV bolus over 2 minutes, .35mg/kg over 2 minutes after 15 minutes

79
Q

Never given cardizem with

A

WIDE QRS tachycardias…may cause Vfib, can worsen hypotension

Wilson (1 decks)

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