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Paramedic > Cardiology 101 > Flashcards

Cardiology 101 Flashcards

1
Q

What is SVT’s rate

A

Often between 170-230 bpm

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2
Q

What is NSR rate?

A

60-100 bpm

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3
Q

What is sinus bradycardia?

A

Less than 60 bpm

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4
Q

What is sinus tachycardia?

A

100-150 bpm

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5
Q

What is the key characteristic of 1st degree HB

A

Prolonged PR interval of more than .20 seconds

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6
Q

What is the adult dose for a fluid bolus?

A

500 mL, may repeat as needed
MAX 2 L

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7
Q

What is the adult does for epi 1:10,000

A

1 mg every 5 minutes

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8
Q

What is atropine used for?

A

Bradycardia

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9
Q

What is the adult dose for atropine?

A

1 mg
May repeat every 3-5 minutes
MAX 3 mg

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10
Q

What is the dose for epi drip?

A

1-10 mcg/min
Titrate to SBP greater or equal to 90 mmhg

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11
Q

What is the dose for dopamine drip?

A

2-20 mcg/kg/min
Titrate to SBP greater than or equal to 90 mmhg

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12
Q

What is dopamine used for

A

bradycardia

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13
Q

What are the h’s and t’s of cardiac arrest

A

Hypovolemia
Hypoxia
Hydrogen ion (acidosis)
Hypothermia
Hypokalemia
Hyperkalemia
Tension pneumothorax
Tamponade; cardiac
Toxins
Thrombosis; pulmonary (PE)
Thrombosis; coronary (MI)

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14
Q

What is nitro paste’s dose?

A

1 inch SBP 100-149
1.5 inch SBP 150-199
2 inch SBP 200 and up

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15
Q

What is morphines dose?

A

2-4 mg IV/IO
Repeat every 5 minutes as needed
MAX 10 mg

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16
Q

What is fentanyl’s dose?

A

50-75 mcg
Repeat 25 mcg every 20 minutes as needed
MAX 200 mcg

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17
Q

What is furosemide used for?

A

Moderate to severe CHF symptoms

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18
Q

What is furosemide’s dose?

A

40 mg IV
ONLY IF:
transport time over 30 min
Known CHF/daily lasix
Afebrile

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19
Q

What is the dosage of midazolam for sedation prior to cardioversion?

A

2-2.5 mg IV/IO
May repeat as needed
Maximum 10 mg

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20
Q

How many jules do you use in unstable narrow and regular complex tachycardia?

A

50-100 J, synchronized

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21
Q

How many jules do you use in unstable narrow and irregular complex tachycardia?

A

120-200 J, synchronized

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22
Q

What is cardizem’s dosage in stable irregular narrow complex tachycardia?

A

0.25 mg/kg
Over 2-3 minutes MAX 25

If no improvement
5-15 mg/hr IV/IO

If no improvement in 15 minutes
0.35 mg/kg IV/IO
MAX 25 mg

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23
Q

What is amiodarones dosage in stable irregular narrow complex tachycardia?

A

150 mg in 100 ml of D5W

24
Q

How many jules do you use on wide regular or irregular tachycardia (v-tach)?

A

200-360 J
Monomorphic QRS (synchronized)
Polymorphic QRS (not-synchronized)

25
Q

Whats the dosage for amiodarone in stable irregular wide complex tachycardia?

A

150 mg in 100 mL of D5W IV/IO
Infuse over 10 minutes
May repeat if wide complex tachycardia recurse

450 mg in 250 mL of D5W 1mg/min (33 mL/hr) IV/IO

26
Q

Whats the dosage for procainamide in stable irregular wide complex tachycardia?

A

20-50 mg/min IV/IO
1-4 g/min
MAX 17 mg/kg

27
Q

What is the amount of jules used in torsades de points (wide and irregular)?

A

200-360, non synchronized

28
Q

What is the dosage for lidocaine in torsades?

A

1-1.5 mg/kg
May repeat if refractory
0.75 mg/kg IV/IO
MAX 3 mg/kg

29
Q

How do you treat torsades with a QT interval over 500 msec?

A

Magnesium 2 g IV/IO
May repeat
MAX 4g

30
Q

How much amiodarone do you use in pulseless v-tach

A

300 mg IV/IO
May repeat if refractory
150 mg IV/IO

31
Q

How much lidocaine is used in pulseless v-tach

A

1.0-1.5mg/kg IV/IO
May repeat if refractory
0.75 mg/kg IV/IO
MAX 3 mg/kg

IF REFRACTORY
Mag 2 g

32
Q

what is the dose for methylprednisolone

A

125 mg

33
Q

What is the dose for diphenhydramine

A

25-50 mg IV/IO/IM

34
Q

How much d 10 do you use in hypoglycemia

A

125 mL-250 ml
May repeat until blood glucose is above or equal to 80

35
Q

How much d50 do you use in hypoglycemia

A

12.5-25 g
May repeat until blood glucose is above or equal to 80

36
Q

How much calcium gluconate is used in cardiac arrest or peaked t wave in a renal failure patient?

A

2 gm

37
Q

How much calcium chloride is used in cardiac arrest or peaked t wave in a renal failure patient?

A

1 gm

38
Q

How much sodium bicarbonate is used in cardiac arrest or peaked t wave in a renal failure patient?

A

50 mEq

39
Q

How much TXA is given after a patient has given birth and has an uncontrolled vaginal hemorrhage with signs of shock?

A

1-2 gm over 10 minutes IV/IO

40
Q

How much midazolam do you give a patient in eclampsia having a seizure?

A

2.5 mg IV/IO
May repeat every 3-5 minutes as needed
5 mg IM
2 mg IN
MAX 10 mg

41
Q

How much magnesium sulfate do you give a patient in eclampsia having a seizure?

A

2 g IV/IO
over 2-3 minutes
May repeat x1

42
Q

How much albuterol do you give to a peds pt?

A

1.25-2.5 mg

43
Q

How much ipratropium do you put in a ped duo neb

A

0.5 mg
Repeat as needed x3

44
Q

How much IM epi do you give a ped patient

A

0.01 mg/kg IM
MAX 0.3

45
Q

How much methylprenisolone do you give a ped pt

A

2 mg/kg IV/IO/IM
MAX 125 mg

46
Q

How much magnesium sulfate do you give a ped pt

A

40 mg/kg
Infuse over 10-20 minutes
MAX 2 g

47
Q

How much epi do you give a peds pt in cardiac arrest

A

.01 mg/kg
MAX single dose 1 mg

48
Q

How much fluid can you give a peds pt

A

20 ml/kg
May repeat as needed
MAX 60 mL/kg

49
Q

How much atropine do you give a peds patient in bradycardia

A

0.02 mg/kg
May repeat x1
Minimum single dose 0.1 mg
MAX single dose 0.5 mg

50
Q

How many jules do you cardiovert unstable narrow complex tachycardia in a ped pt

A

0.5-1 j/kg
Repeat and increase to 2J/kg
May increase to 4J/kg
or adult max

51
Q

What is the peds dose of midazolam before cardioverting a ped pt?

A

0.1-0.2mg/kg
May repeat if needed
MAX single dose 2 mg
MAX total dose 5 mg

52
Q

What is peds pt adenosine dose?

A

0.1 mg/kg
MAX 6 mg
May repeat 0.2 mg/kg
MAX 12 mg

53
Q

How much benadryl can you give a ped pt?

A

1 mg/kg

54
Q

How much methylpednisolone can you give a ped pt?

A

2 mg/kg IV
MAX 125 mg

55
Q

How much D10 can you give a ped under 1 yr

A

5 mL/kg
Repeat as needed

56
Q

How much D25 can you give a peds pt 1-2 yrs

A

2 mL/kg
Repeat as needed

57
Q

How much D50 can you give a patient over 2 years

A

1 ml/kg
MAX 25 g per dose
Repeat as needed

Paramedic (7 decks)

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