MC - 3- Tachycardia - Adult Flashcards Preview

Sedgwick County EMS Protocols > MC - 3- Tachycardia - Adult > Flashcards

Flashcards in MC - 3- Tachycardia - Adult Deck (35):
1

A heart rate over _____ with symptoms requires treatment according to the SCEMSS protocols.

A. 130
B. 140
C. 150
D. 160

C. 150

2

If a patients HR remains over 150, yet they have no symptoms, what should be evaluated?

Underlying causes
- fever
- hypovolemia
- sepsis

3

What s/s make a patient with a HR over 150 "unstable" by SCEMSS protocol?

- hypoTN/shock
- AMS
- ischemic chest pain
- new/worsening CHF

4

In the case of a STABLE narrow complex, regular rhythm, what should be attempted first?

A. 6 mg rapid IVP adenosine
B. 12 mg rapid IVP adenosine
C. 150 mg amiodarone over 10 minutes
D. Valsalva maneuver

D. Valsalva maneuver

5

Ineffective Valsalva maneuvers in the stable, narrow complex, rapid rhythm leads to administration of _____.

6 mg adenosine rapid IVP, then 12 mg adenosine rapid IVP

6

Stable, wide-complex rhythms may be given _____.

A. 6 mg rapid IVP adenosine
B. 12 mg rapid IVP adenosine
C. 150 mg amiodarone over 10 minutes
D. Valsalva maneuver

C. 150 mg amiodarone over 10 minutes

7

Unstable, narrow complex, irregular rhythms are treat with ______.

A. syncronized cardioversion 200J, 360J
B. Syncronized cardioversion 50J, 100J, 200J. 360J
C. Syncronized cardioversion 100J, 200J, 360J
D. Defibrillation at 360 J

A. syncronized cardioversion 200J, 360J

8

Unstable, wide complex, regular rhythms are treated with _____.

A. syncronized cardioversion 200J, 360J
B. Syncronized cardioversion 50J, 100J, 200J. 360J
C. Syncronized cardioversion 100J, 200J, 360J
D. Defibrillation at 360 J

C. Syncronized cardioversion 100J, 200J, 360J

9

Unstable, wide complex, irregular rhythms are treated with ______.

A. syncronized cardioversion 200J, 360J
B. Syncronized cardioversion 50J, 100J, 200J. 360J
C. Syncronized cardioversion 100J, 200J, 360J
D. Defibrillation at 360 J

D. Defibrillation at 360 J

10

Unstable, narrow complex, regular rhythms are treated with _____.

A. syncronized cardioversion 200J, 360J
B. Syncronized cardioversion 50J, 100J, 200J. 360J
C. Syncronized cardioversion 100J, 200J, 360J
D. Defibrillation at 360 J

B. Syncronized cardioversion 50J, 100J, 200J. 360J

*Narrow complex usually indicates supraventricular tissues. Smaller tissues, smaller cardioversion dose*

11

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

150-300 mg

12

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

200-400 mg

13

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

250-500 mg

14

What is the Ketamine dose for geriatric patients?

Medical control contact required

15

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

75-150 mg

16

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

100-200 mg

17

What is the Ketamine IV dose for geriatric patients?

Medical control contact required

18

What is the IV/IM Fentanyl dose for 50-74 kg?

50 mcg

19

What is the IV/IM Fentanyl dose for 75-90 kg?

75 mcg

20

What is the IV/IM Fentanyl dose for over 90 kg?

75 mcg

21

What is the IV/IM Fentanyl dose for geriatrics?

25 mcg

22

What is the IN Fentanyl dose for 50-74 kg?

100 mcg

23

What is the IN Fentanyl dose for 75-90 kg?

100 mcg

24

What is the IN Fentanyl dose for over 90 kg?

100 mcg

25

What is the IN Fentanyl dose for geriatrics?

50 mcg

26

What is the IV/IM dose of Lorazepam for all non geriatric patients?

2 mg

27

What is the IV/IM dose of Lorazepam for geriatrics?

1 mg

28

What is the IV/IM dose of Midazolam for 50-74 kg patients?

2.5 mg

29

What is the IV dose of Midazolam for 75-90 kg patients?

5 mg

30

What is the IV dose of Midazolam for patients over 90 kg?

5 mg

31

What is the IV dose of Midazolam for geriatric patients?

2.5 mg

32

What is the IN/IM dose of Midazolam for 50-74 kg patients?

5 mg

33

What is the IN/IM dose of Midazolam for 75-90 kg patients?

10 mg

34

What is the IN/IM dose of Midazolam for over 90 kg patients?

10 mg

35

What is the IN/IM dose of Midazolam for geriatric patients?

5 mg