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32 Cards in this Set
- Front
- Back
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what is the mnemonic for PEA?
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P E A:
Problem search (H's and T's) Epi 1mg q 3-5 min or vasopressin 40 u Atropine 1mg q 3-5 min (max is 3mg) |
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What is the mnemonic for bradicardia?
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Pacing always ends danger
Pacing (immediately prepare to pace, especially with high degree blocks and or if atropine fails.) Atropine 0.5mg q 3-5 min, max is 3 Epi 2-10 mcg/min (2nd line) Dopa 2-10 mcg/kg/min (also 2nd line.) |
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What is the mnemonic for PEA?
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PEA
Problem search (H's and T's) Epi 1mg q 3-5 min or vasopressin 40 u in place of 1st or 2nd dose Atropine 1mg q 3-5 min |
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What is the mnemonic for the tachycardia algorithm?
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Starts with 3 questions: Stable?, Narrow?, Regular?
If yes to 1, 2, 3, you think its SVT. With that, do: VAC: Vagal manuv Adenosine Cardizem |
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If patient becomes unstable at any time during tachycardia algorithm, what do you do?
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Immediate cardioversion.
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List 3 rhythms you would possible get an expert consultation:
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Stable narrow irregular tachycardia
Stable narrow regular tachycardia Stable wide irregular tachycardia |
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What is the mnemonic for Pulsless VT/VF?
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SCREAM
Shock (360 monophasic) CPR (30:2 for 2 minutes, hard and fast) Rhythm check after 2 minutes (check pulse only if organized rythm is noted, shock again if needed.) Epi 1mg Q 3-5 min, or vasopressin 40 units in place of 1st or 2nd dose.) AM = antiarrythmic medication: (Amio 300, may repeat 150 q 3-5 min) (Lido 100, may repeat X2 at 50mg up to 3mg/kg max.) (Mag 1-2g in 10ml D5W push over 5-20 min for torsades or known low mag.) |
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What is a good way to remember the 6 H's and 5 T's?
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H's: VATSK (volume, acidosis, temp, sat, K+)
T's The 1st 4 are machanical, the 5th is not: (tamponade, tension ptx, thrombosis, trauma, toxins.) |
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What do you do when asystole persists despite appropriate interventions?
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consider termination of efforts.
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How many times do you give vasopressin?
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once.
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What is the absolute bradycardia?
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less than 60 beats per minute.
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What is the relative bradycardia?
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slower than expected.
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When do you prepare for immediate pacing?
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when there is serious circulatory compromise from bradycardia.
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What is the first line drug in the bradycardia algorithm?
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atropine.
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What are the second line drugs in the bradycardia algorithm?
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epinephrine and dopamine.
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If pacing and atropine do not work for bradycardia, what should you always consider?
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differential diagnosis.
try to think if there is something you can do to reverse it. |
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When do we do synchronized electrical cardioversion?
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when there is unstable tachycardia with circulatory compromise due to faster rate.
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What is the initial shock rate for synchronized cardioversion?
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100j monophasic (50j for SVT or a flutter.)
subsequent shocks with increased energy (200, 300, 360.) |
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When do you do unsynchronized electrical cardioversion?
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ventricular fibrillation or pulseless ventricular tachycardia.
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If ventricular to fibrillation or pulseless ventricular tachycardia developed at anytime, what should you do?
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immediately differ relate with 360.
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When you are thinking with the differential diagnosis, what is going on in the background?
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two minute cycles of CPR with rhythm and pulse checks.
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What are some potential differential diagnoses of stable narrow irregular tachycardia?
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atrial fibrillation.
multifocal atrial tachycardia. atrial flutter. |
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What could you do to treat stable narrow irregular tachycardia?
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diltiazem or beta blocker.
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What are some potential differential diagnoses of stable narrow regular tachycardia?
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recurrent SVT.
atrial flutter. junctional or ectopic atrial tachycardia. |
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What could you do to treat stable narrow regular tachycardia?
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diltiazem or beta blocker.
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What drugs should we avoid with stable wide irregular tachycardia?
why? |
calcium channel blockers and digoxin.
it could be AF and WPW. |
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What drugs we give to treat stable wide irregular tachycardia?
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consider amiodarone.
give magnesium 2 g over five minutes for torsades. |
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With tachycardia, what do you do if the patient becomes unstable at anytime?
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perform immediate electrical cardioversion.
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What do we do for sinus tachycardia?
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consider possible causes and treat them accordingly.
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What is required with stable tachycardias in most cases?
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consultation from an expert.
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How often do you give shocks with ventricular fibrillation/ventricular tachycardia?
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every two minutes if indicated.
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With ventricular tachycardia/ventricular fibrillation, what do you do after you have shocked and given two minutes of chest compressions?
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rhythm check, and shocked again if indicated.
check the pulse only if you notice an organized rhythm or nonshockable rhythm. |
