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10 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Pulseless V-FIB/V-TAC, what is the treatment?
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Check LOC,A-open airway,b-ventilate,c-chest compressions,D-defib-shock-200-300-360,#2A-ETT,B-check placement-secure airway-ventilate,C-IV access-monitor-meds,D-differential DX,EPI 1mg IVq 3-5 mins or vasopressin 40u x1,Defib 360j,Antiarrhymics-Amio 300mg IV-Lido 1-1.5mg IV or ETT-Mag 2g in 10ml of NS-Procainamide 20mg/min-Consider HCO3 1mEq/kg,D/fib 360j after each drug D/fib, i.e.(epi,D/fib,lido,D/fib)
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What is the Tx for Asystole?
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Check LOC,1st-ABCD's,2nd-ABCD's,EPI 1mg IV or 2mg ETTq 3-5mins,Atropine 1mg IV or 2mg ETTq 3-5mins to a total of 0.04mg/kg,Consider treatable causes,Consider termination of code
REMEMBER!!! LOOK IN TWO LEADS, AND IF YOUR MONITOR LEADS ARE STILL CONNECTED!! |
Besides looking for the DNR!
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What does the A stand for in the first ABCD's of ACLS?
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AIRWAY- open the AIRWAY!!
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Air supply was a band in the 80's.
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What does the B stand for in the first ABCD'S?
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Breathing- Provide ventilation
BLS manuvers |
You do it everyday without knowing it.
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What does the C stand for in the first ABCD'S of ACLS?
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Circulation-
Chest Compressions 80-100 for adult |
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What does the D stand for in the first ABCD's of ACLS?
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Defibrillation-Either by quick look with the paddles, or with quick pads.
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What is the Tx for Pulseless Electical Activity, or PEA as some might know it as?
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Check LOC,1st ABCD's,2nd ABCD's,Consider treatable causes
H-Hypovolemia H-Hypoxia A-Acidosis H-Hyper- Hypokalemia H-Hypothermia T-Tablets (OD) T-Tamponade T-Tension pneumo T-Thrombosis (Coronary or Pulmonary) |
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What is the Tx for Narrow Complex Tachycardia?
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Evaluate Patient?
*stable or un-stable? Stable-IV,O2,Monitor Vagel manuvers, Adenosine 6mg RIVP ++Junctional Tach-Stable- NO DC Cardioversion,Amiodarone,B-Blockers,CA++channel blockers JUNCT TACH-UNSTABLE-With serious S/S NO DC Cardioversion Amiodarone-150mg in 250cc over 10mins ++PSVT-Stable- CA++channel blockers B-blockers Digoxin- DC Cardioversion-100j,200j,300j,360j Consider Procain or Cordarone PSVT-UNSTABLE- Digoxin Amiodarone Cardizem Cardiovert-100j,200j,300j,360j ++Ectopic-Multifocal Atrial Tach-Stable NO DC cardiovert Ca++channel blockers B-blockers Amiodarone E-Multifocal Atrial Tach-UNSTABLE- NO DC cardiovert Amiodarone Cardizem |
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What constitutes serious signs and symptoms per ACLS?
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Serious signs are:
Pulmonary Edema Rales Rhonci Hypotension Orthostasis JVD Peripheal Edema Ischemia ECG changes Symptoms: SHOB Chest pain Dyspnea on exertion AMS |
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What is the Tx for V-TAC with a pulse. (sustained)
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You can go directly to Sync-Cardiovert with serious signs and symptoms.
For Monomorphic V-TAC STABLE ABC'S IV,O2 MONITOR CONSIDER ONE: PROCAINAMIDE AMIODARONE LIDOCAINE THEN- SYNC-CARDIOVERT 100J,200J,300J,360J ++UNSTABLE V-TAC WITH SERIOUS S/S SYNC-CARDIOVERT 100J,200J,300J,360J (NOTE IF VF OCCURS WHILE SYNC-CARDIOVERT, TURN SYNC OFF AND DEFIB) CONSIDER ONE: AMIODARONE(150 OVER 10MINS) LIDOCAINE(0.5-0.75MG/KG IV) ++POLYMORPHIC(TORSADES)STABLE ABC'S,IV,O2,MONITOR CORRECT ELECTROLYTES CONSIDER ONE: B-BLOCKER LIDOCAINE AMIODARONE PROCAINAMIDE PRIOR TO CARDIOVERT ADMIN SEDATION WHENEVER POSSIBLE SYNC-CARDIOVERT 100J,200J,300J,360J ++UNSTABLE TORSADES(POLYMORPHIC V-TAC) SYNC-CARDIOVERT 100J,200J,300J,360J MAGNESIUM OVERDRIVE PACING(NOT DONE IN THE PREHOSPITAL SETTING) ISOPROTERONOL PHENYTOIN NOTE!!! HAVE YOUR ALS EQUIPMENT READY!! LIDOCAINE |
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