Cardiac

Question 1

No palpable pulse, chaotic ECG pattern

Answer 1

V. fib.
-CPR
-Call for help/cart and card
-Defibs on and start
Communicate with doc
-Epinephrine, 1mg IV q 3-5 minutes

Question 2

For all….. you need

Answer 2

-Communication
-Update team regularly
-Monitor ECG continuously and check patient’s response
-Get a scribe, Document timing, # of shocks,
-Reflection of improvement

Question 3

V. tach

Answer 3

HR > 100 bpm, altered consciousness,
Cart and defibs on in case
-stable? –> meds (communicate)
-unstable? –> cardioversion
-meds –> amiodarone (150mg IV over 10 minutes)
Cont. monitor, scribe, etc.
-watch for haemodynamic status change

Question 4

Patient unresponsive, normal ECG, no palbable pulse

Answer 4

PEA
-CPR
-Call for help/cart and card
-Defibs on and start
Communicate with doc (say PEA!)
-Epinephrine, 1mg IV q 3-5 minutes
Consider any underlying causes. (Tamponade?)
-All the rest

Question 5

ST - elevation and chest pain

Answer 5

Communicate myocardial infarction
-MONA (160 - 325mg)
-Call cardiology for a percunateous coronary intervention
-suggest thrombolytics or anticoagulants
-All the rest