Cardiac Emergencies Flashcards
(30 cards)
Medication and dose of drug indicated in symptomatic bradycardia if TCP unavailable
Atropine 0.5-1mg
At what heart rate should you begin CPR in a pediatric patient with bradycardia who is hemodynamically unstable?
HR less than 60
In PEDIATRIC symptomatic bradycardia, which drug/dose should you try first?
Epi 1:10,000 0.01 mg/kg IV/IO q 3-5 min
What are the 5 “H’s” in the H’s and T’s?
Hypovolemia, Hypoxia, Hydrogen Ion Acidosis, Hypo/Hyper-kalemia, Hypoglycemia, Hypothermia
What are the 5 “T’s” in the H’s and T’s?
Toxins, Tamponade (cardiac), Tension Pneumothorax, Thrombus, Trauma
In PEDIATRIC symptomatic bradycardia, which drug/dose would you attempt AFTER Epi 1:10,000?
Atropine 0.02 mg/kg, maximum single dose 0.5 mg
Your adult patient is in A-fib with RVR at a rate of 200 with a blood pressure of 130/90. What is the drug/dose of choice in this patient?
Diltiazem (Cardizem) 10-20 mg over 2 min.
What is the dose of Adenosine for a patient in SVT?
First dose: 6mg, Second dose: 12 mg, 3rd dose: 12 mg
RAPID IV PUSH due to very short half-life. Only move on to second/third dose if conversion does not happen.
In a stable patient experiencing VT or a Wide Complex Tachycardia, what is the drug/dose you would use for treatment?
Amiodarone 150 mg over 10 minutes mixed in 50-100 ml of D5W. **Should not be mixed in Normal Saline*
What dose of Magnesium Sulfate would you give in a patient presenting with Torsades de Pointes?
1-2 Grams IV/IO over 2 minutes
What drug can you treat your patient who you’ve given Diltiazem to, but then becomes hypotensive from it?
Calcium Chloride 500 mg IV
PEDIATRIC dose of Adenosine?
0.1 mg/kg RAPID IV/IO to a max of 6mg
Second and Third dose: 0.2 mg/kg RAPID IV/IO, max dose of 12 mg.
PEDIATRIC dose of Amiodarone in symptomatic wide-complex tachycardia?
5 mg/kg IV/IO over 20 minutes. (Obtain 12-Lead EKG prior to administration)
What dose/drug is given in Asystolic Cardiac Arrest?
Epinephrine 1:10,000 1 mg IV/IO every 4 minutes up to a max of 4 doses.
How much Sodium Bicarbonate can be given in Asystolic Cardiac Arrest after consult?
1 mEq/kg
PEDIATRIC dose of Epi 1:10,000 in cardiac arrest?
0.01 mg/kg to a max of 4 doses.
PEDIATRIC defibrillation dose for VF/VT Cardiac Arrest?
2 J/kg, then 4 J/kg, then 6 J/kg, then 8 J/kg, then 10 J/kg
PEDIATRIC Cardiac Arrest dose of Amiodarone in VF/VT Cardiac Arrest?
5 mg/kg to a max single dose of 300 mg, may repeat twice
Epi dose in Adult PEA Cardiac Arrest?
1 mg every 4 min to a max of 4 doses. If arrest occurs after ROSC, an additional 2 doses may be administered.
Amiodarone dose in pulseless VF/VT Adult Cardiac Arrest?
300 mg IV/IO, may give a second dose of 150 mg IV/IO
How old must a patient be to treat with the Neuroprotective Induced Hypothermia Protocol after ROSC from a medical etiology Cardiac Arrest?
18 or older (GCS less than 8)
What is the initial joule setting for cardioversion of an adult patient in SVT, VT, or Atrial Flutter?
100 J
What is the initial joule setting for cardioversion of an adult patient in Atrial Fibrillation?
200 J
Defibrillation dose for an adult patient on a biphasic (ProPaq) monitor?
120J, then 150 J, then 200 J
