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Paramedic II - Spring 2013 - Valencia > Medic ACLS > Flashcards

Medic ACLS Flashcards

(57 cards)

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1
Q

Normal Sinus Rhythm

A 
Rate: 60-100
Rhythm: Regular
P Wave: Before each QRS
               Upright and uniform
PRI: 0.12-0.20
QRS: <0.12, alike
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2
Q

Epinephrine (infusion)

A 
Dose (Brady): 1-10 mcg/min
   (Post-arrest) 0.1-0.5mcg/kg/min
Supply: 1:10,000
Mix:1 mg/ 250ml (4:1) 
       2 mg/ 250ml (8:1)
Hint: Clock method
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3
Q

Sinus Bradycardia

A

1) <0.12, alike

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4
Q

Sinus Tachycardia

A

1) 100-150
2) regular
3) before each QRS, upright
4) 0.12-0.20
5) <0.12, alike

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5
Q

Atrial Flutter

A

1) a-240-350, v-variable
2) regular
3) no p waves, f waves are present
(Sawtooth or picket fence)
4) n/a
5) <0.12, alike

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6
Q

Atrial fibrillation

A

1) a-350-700, v-variable
2) irregularly irregular
3) no p waves, f waves
4) n/a
5) <0.12, alike
(Any irregular narrow QRS rhythm is a-fib unless p-waves present)

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7
Q

Premature Atrial Complexes (PAC)

A

1) Usually Normal (underlying rhythm)
2) Regular mostly (except PAC)
3) Differs in shape, size and location
5) variable
5) similar, <0.12

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8
Q

Sinus Dysrhythmia

A

1) 50-100, frequently + inspiration,-expiration
2) Irregular (more than 0.08 variance)
3) Before each QRS, upright
4) 0.12- 0.20
5) Alike, <0.12

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9
Q

Sinus Arrest

A

1) Variable
2) Irregular
3) Present and upright if QRS is present
4) 0.12 - 0.20
5) Alike, 0.12-0.20

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10
Q

Normal Sinus Rhythm

A

1) 60-100
2) Regular
3) Before each QRS, Upright
4) 0.12 - 0.20
5) alike, <0.12

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11
Q

Superventricular Tachycardia

A

1) 160-240
2) Regular
3) Non-discernable
4) Non-discernable
5) alike, <0.12

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12
Q

Wandering Pacemaker

A

1) 60-100
2) May be slightly irregular
3) change in shape, size and location, but present
4) variable
5) yes, usually <0.12

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13
Q

Multifocal Atrial Tachycardia

A

1) >100
2) Irregular
3) At least 3 different forms
4) variable
5) variable

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14
Q

Procainamide Stop Points

A

1) Arrhythmia suppressed
2) Hypotension
3) QRS widens by >50%
4) Max dose 17mg/kg reached

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15
Q

Tachycardia Algorithm (unstable)

A 
HR > 150 w/pulse
ALS
Sypmtomatic - Yes
Sedation (ativan, versed)
Syncronized Cardioversion SVT,Aflutter=50,all others 100,200,300,360
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16
Q

Tachycardia Algorithm (stable, wide QRS)

A 
HR >150 w/pulse
ALS
Symptomatic - NO
QRS - wide
Consider Adenosine (6mg, 12mg, 20ml flush)
    or
Procainamide (20-50 mg/min)
    or
Amioderone (150mg,300mg/10min)]
   or
Sotalol (100mg/5min)
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17
Q

Tachycardia Algorithm (stable, narrow QRS)

A 
HR >150 w/pulse
ALS
Symptomatic - NO
QRS - Narrow
Vagal Maneuvers
Adenosine (6mg, 12mg, 20ml flush)
    or
Beta Blocker
   or
Calcium Channel Blocker 
    Cardizem (15-20mg/kg/2min = .25mg/kg
                    20-25mg/kg/2min = .35mg/kg)
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18
Q

Premature Junctional Complex (PJC)

A

1) Underlying Rhythm
2) Usually Regular except for PJC
3) Missing or inverted with PJC
4) 0.12-0.20
5) <0.12

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19
Q

Accelerated Junctional Rhythm

A

1) 60 - 100
2) Regular
3) Inverted/absent/retro
4) <0.12

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20
Q

Junctional Rhythm

A

1) 40-60
2) Regular
3) Absent/inverted,retro
4) None, short, retro
5) <0.12

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21
Q

Junctional Beat

A

1) underlying rhythm
2) Irregular when beat occurs
3) absent/inverted/retro in excape beat
4) None, short, retro
5) <0.12

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22
Q

Junctional Tachycardia

A

1) 100-180
2) Regular
3) Absent/inverted/retro
4) None, short, retro
5) <0.12

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23
Q

3rd degree block

Study These Flashcards
A

1) 60-10
2) Regular
3) Extra - do not match QRS
4) inconsistent
5) normal
(consistent p-p and r-4, not same)

24
Q

2nd Degree Type II (Mobitz II)

Study These Flashcards
A

1) 60-100
2) Regular
3) Extra p waves
4) Consistently long
5) Present, <0.12

25
2nd degree type I (Mobitz I) (Wenckebach)
1) 60-100 2) Irregularly Irregular 3) Extra P-waves 4) Insonsistent 5) <0.12
26
1st degree block
1) 60-100 2) Regular 3) Before each QRS 4) >0.20 5) <0.12
27
Brdycardia Algorithm
``` HR<50 ALS Symptomatic? No = Monitor Yes Atropine (0.5mg q 3-5min, max 3mg) ineffective Transcutaneous Pacing or Dopamine (2-20 mcg/kg/min) or Epinephrine (2-10 mcg/min ```
28
Epinephrine 1:1000
Dose: 0.3mg IV/IM Supply: 1:1,000 (1mg/mL) Indication: Allergic Reaction, Difficulty Breathing
29
Glucagon
Dosage: 1mg IM Supply: 1 mg/1 ml Indication: Hypoglycemia Dosage: 3mg IV Supply: 1mg/1ml Indication: Reverse Beta Blocker Overdose
30
Morphine
Dosage: 1.0-10.0 mg IV w/o orders Supply: 10mg/ml Indications: extreme pain Dosage: 1-2 mg/ 6-10min IV Supply: 10mg/ml Indications: Reduce venous return in AMI or PE
31
Sodium Bicarbonate
Dose: 1 mEq/kg IV Supply: 50 mEq/50mL Indications: TAD overdose, acidosis, hyperkalemia, long downtime
32
Haloperidol
Dose: 5mg < 60khg > 10mg IV/IM Supply: 5mg/ 1ml Indications: Acute psychotic disorders
33
Diazepam
Dose: 10mg 5mg IV/IM Supply: 10mg/ 2ml Indications: Stop seizure activity (Valium)
34
Midazolam
``` Dose: 1mg/min 0.5mg/min Max: 5mg 3mg IV Supply: 5mg/ 5ml Indications: induce sedation/amnesia for cardioversion (versed) ```
35
Lorazepam
``` Dose: 1mg IV/IM Max: 2mg Supply: 1mg/ 1ml Indications: induce sedation for cardioversion (Ativan) ```
36
D-50
Dose: 25mg IV Supply: 25mg/ 50mL Indications: Hypoglycemia
37
Salvos
Series of 3 or more PVC's
38
Ventricular Fibrillation (VFib)
1) Indeterminate 2) Chaotic 3) None 4) None 5) None
39
Idioventricular rhythm
1) 20-40 2) Regular 3) None 4) None 5) Wide, Bizarre appearance
40
Accelerated Idioventricular Rhythm
1) 41-100 2) Regular 3) None 4) None 5) Wide, bizarre appearance
41
Premature Ventricular Contraction (PVC)
1) Underlying Rhythm 2) Irregular when PVC occurs 3) None associated with PVC 4) None associated with PVC 5) Wide, bizarre appearance
42
Ventricular Bigeminy
PVC every 2nd beat
43
Ventricular Trigeminy
PVC every 3rd beat
44
Venticular Quadrigeminy
PVC every 4th beat
45
Couplets
Paired PVC's
46
Torsades de Pointes
1) >100 2) Irregular 3) None 4) None 5) Wide, Polymorphic
47
Magnesium Sulphate
Dose: 2G/ 100ml/ 10min Supply: 5G/10ml Indications: Respiratory distress Dose: 1-2 G IV q .5-1g/hr Supply: 5G/10ml Indications Torsades de pointes
48
Naloxone
``` Dose: >65yo = 2mg, .4mg <65yo = .4mg Max: 8mg Supply: 2mg/ 2ml Indications: respiratory depression due to OD of opiate, narcotic ```
49
Lasix
Dose: 1mg/kg Supply: 100mg/10ml Indications: acute pulmonary edema/ CHF
50
Albuterol
Dose: 2.5mg in 3.0ml NS via nebulizer Supply: 2mg/3ml Indications: Bronchospasm
51
Atrovent
Dose: 0.5mg/2ml via nebulizer Supply: .5mg/2ml Indications: bronchospasm
52
Nitroglycerin
Dosage: 0.4mg SL Max: 3 doses or BP<90 Supply: 0.5mg tabs, spray Indications: Chest pain associated with MI
53
Atropine
Dosage: 0.5mg IV Max: 3mg or 0.04 mg/kg Supply: 1mg/10ml Indications: Brdycardia Dose: 2-4 mg or higher Indications: Organophosphate poisoning
54
Dopamine
Dose: 2-20 mcg/kg/min Start at 5mcg/kg/min Supply: 400mg/250ml or 800mg/500mll Indications: Bradycardia 2mcg = Dopamanergic 5mcg = Beta 1 5-10 mcg = Alpha and Beta 10-20 mcg = Alpha
55
Adenosine
Dose: 6mg iv/ 12 mg IV followed by 20 ml NS Supply: 6mg/2ml or 12mg/4ml Indications: Tachycardia
56
Amioderone
Dose: 150mg/10min - 300mg Supply: 150/3ml Indications: Wide QRS Tachycardia
57
Cardizem
Dose: .25mg/kg/min (15-20mg/2min) .35mg/kg/min (20-25mg/2min) Supply: 25mg/5ml Indications: narrow QRS tachycardia

Paramedic II - Spring 2013 - Valencia (4 decks)

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