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7364 Critical Care Block 3 > ACLS > Flashcards

ACLS Flashcards

(63 cards)

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1
Q

Chest compression rate?

A

100-120 compressions per minute

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2
Q

If an advanced airway is in place give breath how often?

A

1 breath every 6 seconds

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3
Q

3 vasopressors:

A 
epinephrine
vasopressin (don't use anymore)
dopamine
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4
Q

3 antiarrhythmic agents:

A

amiodarone
lidocaine
magnesium

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5
Q

3 AV nodal blocking agents:

A

adenosine
diltiazem
beta blockers

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6
Q

CPR and/or defibrillation takes precedence over administration of medications

a. true
b. false

A

a. true

establish IV access after attempt of CPR and defibrillation

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7
Q

___ administration provides access to a non-collapsible venous vein

A

intraosseous (IO)

drug delivery similar to that of central or peripheral venous access

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8
Q

Endotracheal (ET) dose is typically _ to __ the IV dose

A

2, 2.5

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9
Q

Endotracheal (ET) doses should be diluted in __ to __ mL of water or normal saline

A

5, 10

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10
Q

5 drugs absorbed via the trachea?

NAVEL

A 
N - naloxone
A - atropine
V - vasopressin
E - epinephrine
L - lidocaine

vasopressin is no longer recommended

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11
Q

epinephrine dose for V fib or pulseless VT?

A

1mg IV push or IO; repeat every 3-5 mins

no max dose

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12
Q

Epinephrine increases survival to hospital discharge rate

a. true
b. false

A

b. false

increases rate of return of spontaneous circulation (ROSC)

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13
Q

Higher doses of epinephrine show evidence of improved outcomes

a. true
b. false

A

b. false

no evidence of improvement in any outcomes

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14
Q

4 drugs for VF/pVT?

A

epinephrine
amiodarone
lidocaine
magnesium

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15
Q

Amiodarone has alpha and beta blocking activities

a. true
b. false

A

a. true

have to be careful in hypotensive pts

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16
Q

Dose of amiodarone for VF/pVT?

A

300mg IV push/IO

may repeat 150mg IVP/IO once; may start continuous infusion

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17
Q

Effects of amiodarone use for VF/pVT?

A

cessation of atrial and ventricular arrhythmias

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18
Q

Which study replaced lidocaine with amiodarone as first line antiarrhythmic agent in pVT/VF?

A

ALIVE

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19
Q

Which study led to reintroduction of lidocaine in ACLS guidelines?

A

ALPS

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20
Q

VF/pVT lidocaine dose?

A

1-1.5mg/kg IV push

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21
Q

VF/pVT lidocaine repeat dose if pVT/VF persists?

A

0.5-0.75mg/kg IVP

at 5-10 min intervals

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22
Q

What is max dose of lidocaine ?

A

3mg/kg

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23
Q

What drug is used to treat Torsades de pointes?

A

magnesium

stabilizes the myocardial cell membrane

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24
Q

Dose of magnesium for VF/pVT?

A

1-2 grams

diluted in 10mL of D5W

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25
What drug is used to Tx systole/pulseless electrical activity?
epinephrine
26
Reversible causes of asystole/PEA: What are the five H's?
``` hypothermia hypoxia hypovolemia hyper/hypokalemia hydrogen ions ```
27
Reversible causes of asystole/PEA: What are the five Ts?
``` tablets (overdose/toxins) thrombosis, ACS thrombosis, PE tamponade tension pneumothorax ```
28
If bradyarrhthmia is persistent and causing what 5 things, move on to meds to raise HR? HASIA
``` H - hypotension A - acutely altered mental status S - signs of shock I - ischemic chest discomfort A - acute heart failure ```
29
What drug is first line for bradycardia?
atropine
30
3 drugs for bradycardia?
atropine dopamine epinephrine
31
Max dose of atropine?
3mg
32
Dose of atropine for bradycardia?
1mg IV may repeat
33
Which node does atropine work on?
SV node if heart block in AV node atropine won't work
34
Atropine should not be used in MI a. true b. false
a. true increases heart oxygen demand which could make it worse
35
what is dopamine infusion dose?
5-10mc/kg/min titrate to response
36
Bradycardia epinephrine infusion dose?
2-10 mcg/min titrate to response
37
A HR >= __ bpm is classified as tachycardia
150
38
5 things with tachycardia that mean you should move on to synchronized cardioversion (electricity)? HASIA
``` H - hypotension A - acutely altered mental status S - signs of shock I - ischemic chest discomfort A - acute heart failure ``` same as bradycardia
39
What QRS indicates narrow complex (SVT) tachycardias?
< 0.12
40
What QRS indicates complex tachycardias?
>= 0.12 sec
41
3 drugs for narrow complex tachycardia?
adenosine diltiazem/verapamil beta blockers
42
Dose of adenosine for tachycardia ?
6mg rapid IV push with 20mL saline flush at same time elevate arm may repeat with 12mg bolus x 2 if no conversion occurs within 1-2mins
43
Verapamil dose for tachycardia?
2.5-5mg IV over 2 mins may repeat 5-10 mg q 15-30mins total dose of 20mg
44
diltiazem dose for tachycardia? first bolus? second bolus? maintenance infusion?
first bolus: 0.25mg/kg (15-20mg) IV over 2 mins bolus second bolus: 0.35 mg/kg (20-25mg) IV over 2 mins for second bolus maintenance infusion: 5-15 mg/hr
45
Metoprolol dose for tachycardia?
5mg slow IV push
46
Esmolol dose for tachycardia?
500mcg/kg bolus IV push over 1 min followed by 4 minute infusion of 50mcg/kg
47
Esmolol dose for tachycardia is __ mcg/kg bolus IV push over 1 min followed by a __ minute infusion of __ mcg/kg
500, 4, 50
48
4 drugs for wide complex tachycardia? AAMP
A - amiodarone A - adenosine M - magnesium P - procainamide
49
Amiodarone dose for wide complex tachycardia?
150mg IV over 10mins repeat every 10mins max 2.2 grams in 24 hours
50
Amiodarone should be filtered a. true b. false
a. true the diluent it is mixed with can cause crystallization especially with D5W
51
Adenosine dose for wide complex tachycardia?
6mg rapid IVP may repeat with 12mg bolus x 2 if no conversion occurs within 1-2 mins
52
Magnesium dose for wide complex tachycardia?
1-2 grams diluted in 50-10mL D5W over 5-60mins IV
53
Consider using adenosine for tachycardia only if __ and __
regular, monomorphic
54
Dose of procainamide for wide complex tachycardia? loading? maintenance?
loading dose: 20mg/min continuous infusion until arrhythmia is suppressed maintenance: 1-4mg/min diluted in D5W or NS
55
Procainamide dose should be increase din presence of renal failure a. true b. false
b. false REDUCED in presence of renal failure
56
What is max loading dose of procainamide?
17mg/kg
57
Dose of calcium chloride?
1 gram (10mL of 10% solution)
58
Dose of sodium bicarb?
1mEq/kg in 50mEq profiled syringe
59
What drug is used in all pulseless arrests?
epinephrine
60
Amiodarone and lidocaine are on equal footing in current guidelines a. true b. false
a. true
61
Drug of choice for torsades de pointes?
magnesium
62
drug of choice for symptomatic bradycardia?
atropine
63
drug of choice for supraventricular tachycardia?
adenosine

7364 Critical Care Block 3 (6 decks)

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