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28 Cards in this Set

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EKG: VF or pulseless VT

next step?
shock 360J
EKG: VF or pulseless VT, no response to shock

next step?
Epinephrine 1mg IVP q3-5min
EKG: VF or pulseless VT, no response to shock, no response to Epi

next step?
Amiodarone 300mg IVP, then 150mg IVP
EKG: PEA

next step?
Epinephrine 1mg IV bolus q3-5min
EKG: PEA, no response to Epi and pt brady

next step?
Atropine 1mg IV q3-5min
Ddx of PEA?
5H: hypo/hyperkalemic, hypotherm, hydrogen ion, hypox, hypovol,

5T: pulm thrombus, tablet OD, tamponade, myocardial thrombus, tension PTX
EKG: asystole

next step?
Epinpehrine 1mg IVP q3-5min
EKG: asystole, no response to Epi
Atropine 1mg IV q3-5min
EKG: type II 2nd degree AVB

next step?
pacing
EKG: 3rd degree AVB

next step?
pacing
EKG: 1st degree AVB, (-)Sx

next step?
observe
EKG: 1st degree AVB, (+)Sx

next step 4 steps?
pacing
atropine 1mg IV q5min
epinephrine 2-10mcg/min IV
dopamine 5-20mcg/kg/min IV
EKG: a-flut, unstable

next step?
cardioversion 50J
EKG: paroxysmal SVT, unstable

next step?
cardioversion 50J
EKG: a-fib, unstable

next step?
cardioversion 100J
EKG: monomorph VT, unstable

next step?
cardioversion 100J
EKG: polymorph VT, unstable

next step?
cardioversion 200J
EKG: a-fib/a-flut

next step 2 steps?
- Cardizem 20mg IV over 2min (EF > 40%) or Digoxin 0.5mg IVP
- overdrive pacing
EKG: paroxysmal SVT

next 4 steps?
- vagal maneuver
- adenosine 6mg IVP
- Verapamil 5mg IV (EF > 40%) or Amiodarone 150mg IV (EF < 40%)
- cardioversion 50J
EKG: WPW

next 2 steps?
- Amiodarone 150-300mg IV over 10-20min
- cardioversion 100J
EKG: wide complex tachy NOS

next 3 steps?
- Adenosine 6mg IVP
- Amiodarone 150mg IV over 10min
-cardioversion 100J
EKG: monomorph VT

next 3 steps?
- Amiodarone 150-300mg IV
- Lidocaine 1mg/kg IVP q5-10min
- cardioversion 100J
EKG: polymorph VT/Torsades

next 4 steps?
- Mg 2-4g IV
- overdrive pacing
- Lidocaine 1mg/kg IVP
- cardioversion 200J
hypotension, CHF, pulm edema
hypovolemia

next 2 step?
- fluids/blood
- consider pressors
hypotension, CHF, pulm edema
pump failure
SBP <70

next step?
Dopamine 5-20mcg/kg/min IV
hypotension, CHF, pulm edema
pump failure
SBP 70-100

next step?
Dopamine 5-20mcg/kg/min IV
hypotension, CHF, pulm edema
pump failure
SBP >100

next 5 step?
- Dobutamine 2-20mcg/kg/min IV
- Lasix 1mg/kg IV
- Morphine 2mg IV
- Nitroglycerin SL 0.4mg tab q3-5min
- oxygen suppl
hypotension, CHF, pulm edema
pump failure
DBP>110

next step?
- Nitroglycerin 10-20mcg/min IV