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24 Cards in this Set
- Front
- Back
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who is the opa used for
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unconscious, an npa can be used in conscious or semiconscoius
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what shoudl be done after insertion of an opa or npa?
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spontaneous respirations
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what is the difference between soft and rigid suction catheters?
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soft- mouth, nose, sterile, et tube suctioning, thin secretions or through an airway.
Rigid- oropharynx, thick secretions |
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4 universal steps for an AED
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pwoer on
attach pads analyze the rhythm clear teh patient and shock |
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AED and hairy chest
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press firmly on pads
check pads may need to shave after removal (removal may take hair along with it.) |
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water and AED
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get a patient out of the water,
wipe of the chest |
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pacemaker and AED
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move it 1 in to either side
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What is the algorhythm for a pulseless arrest and a shockable rhythm?
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VF or pulseless VT
Give 1 shock - Manual biphasic: 120-200J - AED - Monophasic 360J Resume CPR- 5 cycles Still Shockable? 2nd shock at 200 biphasic or 360J monophasic Resume CPR adn one mg of epi (repeat every 3-5 min) - Vasopressin 40U may be given instead of first or second dose 5 cycles of cpr- check rhythm again shock amiodarone 300mg, then 150mg OR Lidocaine 1mg/kg max 3mg/kg alternate with epi |
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what should be done with torsades?
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mag 1-2g loading dose
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what are the 6 Hs, 5 Ts?
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Hypovolemia
Hypoxemia Hypo/HyperK Hypoglycemia H+ (acidosis) Hyothermia Toxins Tamponade Tension Pneumo Thrombosis Trauma |
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what should be done in PEA or Asystole?
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CPR
epi 1mg every 3-5 atropine 1mg for asystole or slow PEA |
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what is the role of epi in ACLS?
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vasoconstriction
give 1mg |
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what is the dose of vasopressin in ACLS?
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40 U
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what meds are used if epi or vasopressin don't work in ACLS
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amiodarone 300mg then 150mg
lidocaine 1-1.5mg/kg then .5-.75mg mg for torsades 1-2g |
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what should be done with hypothermia and VT/VF?
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one defib attempt; no drugs or defibs until >30C or 86F
mild hypothermia should have slower dosing |
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meds through a peripheral iv
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give meds
20ml bolus then elevate arm for 10-20 seconds |
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what is postresuscitation maintenance therapy with amiodarone?
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max: 2.2g over 24hrs
IV bolus of 150mg over 10 min 360mg over next 6 hrs (1mg/min) maintenance of 540 over next 18hrs (0.5mg/min) |
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what is the dose for lidocaine for postresuscitation maintenance therapy?
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loading dose of 1-1.5mg/kg
continuous infusion of 1-4mg/min |
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what are the clues that point towards hypovolemia
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narrow complex rapid rate, history, flat neck veins;
volume |
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what points towards hypoxia and waht do you do?
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slow rate; cyanosis, blood gases, airway problems
treat: o2, vent |
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what points twards acidosis
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small amplitude qrs complexes
hx: dm, preexisting acidosis, renal failure Rx: bicarb, hypervent |
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what points towards hyperkalemia?
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EKG: peaked t waves, small p waves, qrs widening, sine wave
Hx: renal failure, diabetes, recent dialysis, dialysis fistulas, meds Rx: bicarb, ca, glucose and insulin, kayealate, dialysis |
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what points towards hypokalemia
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EKG: flattened ts, u waves, wide qrs, prolonged qt, wide complex tachy
Hx: loss of K, diuretic use Rx: K infusion, Mg |
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what points towards hypothermia?
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EKG: J or osborne waves
Hx: exposure, temp |
