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44 Cards in this Set

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  • Back
Ventilation rate with advanced airway
8-10 breaths per minute
Ventilation rate without advanced airway
1 breath every 5-6 seconds
CPR is inadequate if capnography shows end tidal CO2 to be less than?
10 mm Hg
Ratio of compressions to breaths both solo and with partner
Solo - 30:2, Partner - 15:2
When using endotracheal suction, should suction be applied while pushing tube in or pulling out?
While pulling out only (suction while pushing in will pull out air)
Danger with using endotracheal tube stabilizer (a strap that holds tube in place)
Can compress the trachea or carotid arteries
Two most reliable methods to confirm tube placement
Physical exam, capnography
During arrest, is a peripheral line or central line preferred?
Peripheral line (central can get in the way of CPR)
You have an arrest, put on the AED, and find out it's broken. What's the first thing you should do?
Resume CPR
CPR is defined as adequate if capnography shows end tidal CO2 to be at least?
20 mm Hg
You should consider terminating rescue attempts after a non-perfusin rhythm of what duration?
20 minutes or longer
Danger of using 100% O2 during arrest?
Can be ignited by shock if blowing over the chest
For bradycardia, name three drugs that can be used instead of transcutaneous pacing
Dopamine, dobutamin, epinephrine (collectively called pressors)
Post arrest, you should titrate end tidal CO2 to what amount?
35-40
Temperature and time from for post-arrest hypothermia
32 degrees, 12-24 hours
Target systolic BP post-arrest
90 mm Hg
Volume replenishment recommended post-arrest
1-2L saline
Drug and dose to use first in pulseless electrical activity
1 mg epinephrine
Two groups of people often having atypical MI symptoms
Women and diabetics
Three parts of cincinnati stroke scale
Facial droop, arm drift, abnormal speech
After circulation is established (ROSC), primary concern is managing?
Oxygen, ventilation
Dose and interval for epinephrine
1 mg, every 3-5 minutes
Drug for refractory vfib or vtach
Amiodarone
Dose for vasopressin
40 units
If vasopressin is given during arrest, it has to be given as one of the first ______ drugs
Two
Rhythm is still shockable, epinephrine and three shocks have already been given. Next step?
300 mg Amiodarone
Dosages for amiodarone during arrest
First dose 300mg, second 150mg
Name the five H's of reversible arrest causes
Hypovolemia, hypoxia, hydrogen ion (acidosis) hypo/hyperkalemia, hypothermia
Name the five T's of reversible arrest causes
Tension pneumothorax, tamponade, toxins, thrombosis (pulmonary), thrombosis (cardiac)
Nonshockable rhythm pt (Asystole, PEA) has been receiving CPR and epinephrine, which is not working. Next step?
Consider reversible causes
Number of shocks given before first epinephrine dose
Two
Definite contraindication for induced hypothermia
Patient is conscious
To warrant immediate treatment of bradyarrhythmia, pt must be?
Symptomatic
Post arrest dopamine/dobutamine dosage
5-10 mcg/kg per minute
Bradycardia dosage of dopamine/dobutamine
2-10 mcg/kg per minute
Asymptomatic bradycardia patient. Next step?
Monitor/observe, expert consulation
First step in symptomatic bradycardia (has a pulse)
0.5 mg Atropine
Dose and interval for atropine
0.5 mg every 3-5 minutes
Maximum total dosage for atropine
3 mg
During arrest, what should be done between first and second shock?
Establish IV/IO access
Pt has symptomatic bradycardia (with a pulse), atropine is ineffective. Next step?
Transcutaneous pacing, dopamine, or epinephrine
Amiodarone dose for stable tachycardia
150 mg over 10 minutes (NOT bolus)
First step for stable versus unstable tachycardia
Stable - 6 mg adenosine, unstable - cardioversion
Alternatives to adenosine for stable, narrow tachycardia
Vagal maneuvers, beta-blocker, calcium channel blocker