Cardiac Flashcards
What medications are used in symptomatic brady-dysrhythmias?
Atropine
Epinephrine infusion
What non-medication intervention is used to treat symptomatic brady-dysrhythmias?`
Transcutaneous pacing
What monitoring device can be used to assess the quality of CPR?
EtCO2
What should post-ROSC care focus on preventing?
Fever
Hypoxia
Hypo/hypercapnia
Hypotension
What conditions must be met prior to moving a pt w/ ROSC?
ROSC sustained for at least 5 min w/ palpable pulse AND systolic BP 60 or greater
What, at minimum, should be documented for a pt w/ ROSC?
Time of arrest/last seen normal
Witnessed vs. unwitnessed
Initial cardiac rhythm (shockable or not)
If bystander CPR provided, how long
Time of ROSC
Post arrest 12 lead
What are some identifiable/reversible causes of cardiac arrest?
Hypovolemia, hypoxia, hydrogen ion (acidosis), hyper/hypokalemia, hypoglycemia, hypothermia, toxins, tamponade, tension pneumo, thrombosis
Can family stay in the immediate area during resuscitation attempts?
Yes, in fact, it is recommended and may help w/ the grieving process. But only if they are not disruptive
What medication(s) is/are given in the asystole/PEA cardiac arrest algorithm?
Epinephrine 1:10000
What medication(s) is/are given during the VF/VT cardiac arrest algorithm?
Epinephrine 1:10000
Amiodarone (or lidocaine)
What medication is given for torsade de pointes?
Magnesium
What criteria must be met for termination of resuscitation?
No reversible causes identified AND
asystole OR
EtCO2 is <10 after 20 min of ALS care and there is no ROSC
What energy amount do we defibrillate with?
Max joules (360) - Adult
4 J/kg - Peds
When is synchronized cardioversion utilized?
For tachydysrhythmias w/ a pulse and signs of poor perfusion
What is the energy setting used in synchronized cardioversion?
Adult - 360 joules
Pediatric - 2 joules/kg
