MC - 3- Tachycardia - Adult Flashcards Preview

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

Flashcards in MC - 3- Tachycardia - Adult Deck (33):
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 geriatrics?

25 mcg

21

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

100 mcg

22

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

100 mcg

23

What is the IN Fentanyl dose for geriatrics?

50 mcg

24

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

2 mg

25

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

1 mg

26

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

2.5 mg

27

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

5 mg

28

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

5 mg

29

What is the IV dose of Midazolam for geriatric patients?

2.5 mg

30

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

5 mg

31

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

10 mg

32

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

10 mg

33

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

5 mg