MC - 2 - Bradycardia - Adult Flashcards Preview

Sedgwick County EMS Protocols > MC - 2 - Bradycardia - Adult > Flashcards

Flashcards in MC - 2 - Bradycardia - Adult Deck (18):
1

If a patient is experiencing a HR of under ____, it is considered bradycardia by the W/SC EMSS.

A. 40 BPM
B. 50 BPM
C. 60 BPM
D. 70 BPM

B. 50 BPM

2

All bradycardic patients, regardless of being symptomatic or not, (should/should not) have a 12-lead ECG performed.

Should

3

What are the signs/symptoms of symptomatic bradycardia?

- HypoTN/Shock
- AMS
- Ischemic chest pain
- New/worsening CHF

4

In the presence of STEMI, high grade (_____) HB, or heart transplant, what is the management option for symptomatic adult bradycardia?

A. Chest compressions
B. Transcutaneous pacing
C. Dopamine

B. TCP

Dopamine is only utilized if TCP is ineffective.

5

What sedation options are available for adult TCP?

- Midazolam
- Lorazepam
- Ketamine

6

What is the dopamine dose for patients between 50-74 Kilograms?

A. 250 mcg/min
B. 450 mcg/min
C. 375 mcg/min

***look up what the dose is in gets per minute from this chart

A. 250 mcg/min

7

What is the dopamine dose for patients 75-90 Kilograms?

A. 250 mcg/min
B. 375 mcg/min
C. 450 mcg/min

B. 375 mcg/min

8

What is the dopamine dose for patients over 90 Kilograms?

A. 450 mcg/min
B. 375 mcg/min
C. 250 mcg/min

A. 450 mcg/min

9

What is the dopamine dose for geriatric patients?

A. 250 mcg/ min
B. 375 mcg/min
C. 450 mcg/min

A. 250 mcg/min

10

What is the Ketamine IM dose for patients between 50-74 Kilograms?

150-300 mg

11

What is the Ketamine IM dose for patients 75-90 Kilograms?

200-400 mg

12

What is the Ketamine IM dose for patients over 90 Kilograms?

250-500 mg

13

What is the Ketamine dose for geriatric patients?

Medical control contact required

14

What is the Ketamine IV dose for patients between 50-74 Kilograms?

75-150 mg

15

What is the Ketamine IV dose for patients between 75-90 Kilograms?

100-200 mg

16

What is the Ketamine IV dose for geriatric patients?

Medical control contact required

17

If TCP is ineffective in the symptomatic bradycardia patient, what may be utilized next?

Dopamine

18

Patients without STEMI, high grade AV block, or heart transplant may be given _____ to treat bradycardia.

A. 6 mcg/kg/min dopamine drip
B. 0.5 mg atropine IV repeated x1
C. 0.1 mg/kg 1:10,000 IV Epinephrine

B. 0.5 mg atropine IV repeated x1