Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Section 2 (Adult Protocols) > Cardiac Emergencies > Flashcards

Cardiac Emergencies Flashcards

1
Q

What are the Hs

A 
Hypovolemia
Hypoxia
Hydrogen ion-acidosis
Hyperkalemia
Hypoglycemia
Hypocalcemia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the Ts

A 
Tablets
Tamponade, cardiac
Tension pneumothorax
Thrombosis, coronary/pulmonary
Trauma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ALS level 1 for Asystole/PEA

A

Epi (1:10,000) - 1 mg IV/IO every 3-5 mins
Vasopressin - 40 U IV/IO (1st or 2nd dose of EPI)
Calcium Chloride - 1 g IV/IO (for calcium-channel blockers/renal failure)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

CPR depth for an adult

A

Equal or greater than 2 inches

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How often should personnel be rotated when performing CPR

A

Every 2 mins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What patients are considered unstable in Bradycardia

A 
AMS
Ischemic CP/discomfort
Acute heart failure
Hypotension (BP less than 90)
Dyspnea
HB or ischemia/infarction on 12Lead
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

ALS level 1 for Bradycardia

A

Atropine - 0.5 mg IV/IO every 3-5 mins (max. 3 mg)

Dopamine - 2-10 mcg/kg/min (if bradycardia is unresponsive to atropine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Bradycardia w/ hypotension and inferior MI w/ +V4R

A

Withhold NTG, give fluids 500 mL NS & Pacing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Medications for sedation prior to pacing

A

Valium - 5 mg IV/IO/IN (max. 10 mg)

Versed - 2 mg increments IV/IO (IN: 10mg/2mL dose) (max. 10 mg)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What should be considered prior to max dose of Atropine

A

Pacing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

If suspected digitalis toxicity, what med improves AV nodal conduction

A

Atropine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

If persist hypotension/cardiogenic shock with bradycardia what should be admins.

A

Dopamine - 5-10 mcg/kg/min (max. 20 mcg/kg/min) (1600 mcg/mL infusion = 15-60 gtts/mins) (titrate to BP: 90-120)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Sinus Tachycardia range

A

100-160 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Junctional Tachycardia range

A

100-180 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Atrial Tachycardia range

A

150-250 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Atrial Flutter range

A

250-350 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Atrial Fibrillation range

A

350-above bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What patients are treated with medication

A

borderline symptomatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is considered borderline symptomatic

A

Alert & oriented
BP above 90
Mild chest discomfort
SOB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is considered unstable

A 
Decreased LOC
BP less than 90
CP
SOB
Diaphoresis
CHF/PE
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

At what rate is tachycardia treated

A

150 and above

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

ALS level 1 for borderline SVT

A

Vagal maneuvers
Adenosine - 6 mg IVP w/ 20 mL flush
Adenosine - 12 mg IVP w/ 20 mL flush

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

ALS level 2 for borderline SVT

A

Cardizem - 0.25 mg/kg IV over 2 mins (avg. 20 mg)

24
Q

ALS level 1 for borderline A. Flutter & A. Fib

A

Cardizem - 0.25 mg/kg IV/IO over 2 mins (avg. 20 mg)

If not resolved after 15 mins - 0.35 mg/kg IV/IO over 2 mins (avg. 25 mg)

25
Q

ALS level 1 for all unstable SVTs

A

Fluid challenge - 500cc IV/IO

Cardio version

26
Q

Cardio version dose for regular SVT & A. Flutter

A

50-100 joules

27
Q

Cardio version dose for A. Fib

A

120-200 joules

28
Q

When should Adenosine not be given (tachycardia)

A

Patients w/ A.Fib or A. Flutter

29
Q

What patients should not be given Cardizem

A

Pts. w/ WPW syndrome

30
Q

What drug should be considered for WPW

A

Amiodarone

31
Q

ALS level 1 for PVCs

A

O2 via non-rebreather 10-15 L/min

32
Q

ALS level 1 for borderline VT w/ pulse

A

Amiodarone - 150 mg in 50 mL D5W over 10 mins (10 gtts set) at 1 gtt/sec.

33
Q

If the patient has torsades de pointes (stable), what drug is admins.

A

Mag. Sulfate - 2g in 50mL D5W over 1-2 mins

34
Q

ALS level 1 for unstable VT w/pulse

A

Sedate & cardiovert - 100, 200, 300, 360 Joules

35
Q

If wide irregular/unstable or polymorphic and/or torsades what is done

A

Defibrillate (not synchronized)

36
Q

What is admins if not given prior to cardioversion (VT w/pulse)

A

Amiodarone - 150 mg in 50 mL D5W over 10 mins (if BP is above 100) repeat x1 after 10 mins as needed

37
Q

What is the initial dose for cardioversion for suspected digitalis toxicity in unstable VT w/pulse

A

5-20 joules

38
Q

ALS level 1 for VF/VT

A

Epi (1:10,000) - 1 mg IV/IO every 3-5 mins
Vasopressin - 40 U IV/IO (1st/2nd dose of Epi)
Amiodarone - 300 mg IVP. After 3-5 mins: 150 mg IVP
Torsades - Mag. Sulfate: 2g in 50 mL D5W over 1-2 mins

39
Q

If Mag sulfate converts out of VF/VT what is admins

A

Mag Sulfate maintenance - 2g in 500 mL NS @ 30-60 gtts/min

40
Q

ALS level 1 for ROSC

A

BP below 90: IV NS 500 mL (repeat x1 to main BP above 90)

Dopamine - 5-10 mcg/kg/min (titrate to BP: 90)

41
Q

In ROSC, if Amiodarone was admins during resuscitation can you admins more Amiodarone

A

No

42
Q

In ROSC, if frequent PVCs or runs of VT, or transport longer than 30 mins what is admins

A

Amiodarone drip - 150 mg in 50 mL D5W = 3:1 concentration (flow at 1 gtt every 3 sec.) (60 gtt set)

43
Q

Amiodarone exclusion in ROSC:

A

HR less than 60
2nd/type 2 HB
3rd HB
Hypotension

44
Q

Unconscious adult patients w/ROSC should be cooled to

A

89.6F - 93.2F for 12-24 hrs if in VF/VT

45
Q

Inclusion criteria for Therapeutic Hypothermia

A

a. All patients with ROSC
b. Advanced airway w/ETCO2 greater than 20 & pt. remains comatose
c. BP above 90 or maintained above 90 w/drugs
d. 16 y/o and older

46
Q

Exclusion criteria for Therapeutic Hypothermia

A

a. Pregnant
b. Traumatic arrest
c. Head trauma
d. Hemorrhage
e. Initial temp below 93.2*F
f. BP below 90

47
Q

ALS level 1 for Therapeutic Hypothermia

A

Apply cold pack to head, axillae and groin
Prevent shivering w/ Valium or Versed
Persistent shivering - Morphine: 5 mg (max. 10 mg)
Cold IV bolus @ 30 mL/kg (max. 2 L)
Dopamine - 10 mcg/kg/min (if BP drops below 90) (Maintain BP above 110)

48
Q

What is written on the cold IV bag

A

Hypothermia

49
Q

What is documented prior to initiation of cold therapy

A

Pupils (size, reactivity, equality)

Motor response to pain

50
Q

ALS level 1 for Cardiogenic Shock

A

12Lead
Fluid challenge - 500 mL NS (repeat x1)
Dopamine - 5-20 mcg/kg/min (titrate BP: 90-120)(60gtt set)

51
Q

Fluids should be avoided if 12lead shows what

A

Anterior wall MI

52
Q

Elevation in what leads is an Anterior wall MI

A

I, AVL, V1-V6

53
Q

ALS level 1 for Angina/AMI

A

Aspirin - 162-324 mg PO
NTG - 0.4 mg SL every 3-5 mins (max. 1.2 mg or 3 doses)
Morphine - 5 mg IV/IM repeat after 5-10 mins (max. 10 mg)(titrate to BP above 90)

54
Q

AMI is probable when

A

a. Min. 1mm ST elevation in 2 or more leads

b. New onset of LBBB

55
Q

On scene time for cardiac alerts should be minimized to

A

10 mins or less

56
Q

Hypertensive emergencies is defined as

A

Systolic BP above 180 & diastolic BP above 110

w/ S&S of end organ failure

57
Q

ALS level 1 - (Stable VT w/pulse): If Mag. Sulfate converts torsades what is given?

A

Mag. Sulfate - 1g in 250 mL D5W @ 30-60 gtts/min (60 gtts set)

Section 2 (Adult Protocols) (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions