Rhythm Disturbances- meds Flashcards
(23 cards)
Unstable SVT/VT w/ pulses
Synchronized cardioversion 0.5-1 J/kg
Repeat at 2 J/kg
Stable Narrow QRS Tachycardia- first try?
Vagal Maneuvers
Stable Narrow QRS Tachycardia- meds/dose
Adenosine- 0.1 mg/kg (IV or IO) max 6 mg, cut dose in 1/2 if via central line, can repeat x2 at 0.2 mg/kg, max 12
Amiodarone- 5 mg/kg over 20-60 min
Procainamide- 15 mg/kg over 30-60 min
Stable Narrow QRS Tachycardia- If Amiodarone is given ggt
5-10 mcg/kg/min
Stable Narrow QRS Tachycardia- If Procainamide is given ggt
20-80 mcg/kg/min
Stable Wide QRS Tachycardia- When to give adenosine
Monomorphic QRS and regular rhythm
Stable Wide QRS Tachycardia- Meds
Amiodarone
Procainamide
Lidocaine
Stable Wide QRS Tachycardia- Amiodarone- dose
5 mg/kg over 20-60 min
Stable Wide QRS Tachycardia- Procainamide- dose
15 mig/kg over 30-60 min
Stable Wide QRS Tachycardia- Lidocaine- dose
1 mg/kg IV/IO bolus
ggt 20-50 mcg/kg/min
ETT bolus- 2-3 mg/kg
Stable Wide QRS Tachycardia- Synchronized Cardioversion- dose
0.5-1 j/kg
Repeat at 2j/kg
Unstable Bradycardia- meds
Epinephrine
Atropine
Unstable Bradycardia- Epinephrine- Dose
0.01 mg/kg IV/IO @ 0.1cc/kg of 1:10,000
0.1 mg/kg ETT @ 0.1 cc/kg of 1:1000
Repeat q 3-5 min
Unstable Bradycardia- Atropine- Dose
0.02 mg/kg
What other treatment can be used
Cardiac Pacing
Stable Bradycardia - treatment
Obs, ABC, Prepare for external pacing
Vfib- Vtach- pulseless- immediate tx
Defibrillation- 2-4 Jkg, repeat at 4-10 j/kg
Vfib- Vtach- Epi dose
0.01 mg/kg IV/IO @ 0.1 of 1:10,000 q3-5 min
Vfib-Vtach- Amiodarone- dose
5 mg/kg IV/IO bolus in 5cc flush- 300 mg max max repeat x2
Vfib-Vtach- Lidocaine-dose
1 mg/kg IV/IO bolus, ggt 20-50 mcg/kg/min
Vfib-Vtach- MgSO4- dose
25-50 mg/kg IV/IO bolus 2g max
Vfib-Vtach- meds
Epi
Amiodarone
Lidocaine
MgSO4
Asystole/PEA- Epi dose
0.01 mg/kg IV/IO @ 0.1cc/kg of 1:10,000 q 3-5 min
