Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
17 Cards in this Set
- Front
- Back
- 3rd side (hint)
|
patient found to be in pulseless VF/VT what is next step
|
shock
- biphasic - 120 - 200 - monophasic: 360 J - resume CPR (after shock) |
|
|
|
Patient found to be in pulseless VF/VT has recieved shock and 5 cycles of CPR upon pulse check is found to be in VF/VT without pulses what is next step
|
Shock
- biphasic - 200J - mono - 360J when IV/IO available give - 1mg epi or 40 vaso pressin then continue CPR x 5 cycles |
|
|
|
patient has received two shocks and one round of epi a pulse check is performed and he is still in pulseless VT/VF what is the next step?
|
Shock
- biphasic @ 200j - monphasic @ 360J + epinephrine 1mg + amiodaroone 300mg IV/IO or lidocaine 1-1.5 mg/kg (consider mag 2grams for torsades) |
|
|
|
patient has been in pulseless VT/VF has received 3 shocks and two rounds of epi as well as amio x 1 we are now at another pulse check and nothing has changed what can you do now.
|
shock
- 200J biphasic - 360 Mono EPi 1 mg Amioadarone - 150mg (if already given 300) or .5-.75 mg/kg of lido if already given one dose |
|
|
|
What are the 6 Hs described in the ACLS manual that can be a cause of PEA
|
Hypovolemia
Hypoxia Hydrogen excess Hypo/per Kalemia Hypoglycemia Hypothermia |
|
|
|
what are the 5 Ts described in the ACLS manual that are associated with PEA
|
Toxins
Tamponade Tension PTX Thrombosis (MI/PE) Trauma |
|
|
|
Explain the PEA algorithm
|
Step 1:
- CPR x 5 cycles - epi 1 mg IV/IO (may repeat every 3-5 minutos) - consider atropine 1mg (IV/IO) repeat |
|
|
|
what is the ratio of breaths to compressions with an adva.nced airway and without
|
With advanced airway
- 8-10 BPM Without - 30: 2 |
|
|
|
your are presented with a patient who is bradycardic as well as manifesting signs of poor perfusion (MAS, CP, Low BP, Hypotension or other signs of shock), what is next in the ACLS algorithm
|
A: prepare for TC pacing
(without delay for type II or 3rd degree) B: consider atropine 0.5mg ( may repeat to a total of 3mg) C: Consider dopamine @ 2- 10 mcg/kg/min or Consider epi @ 2-10 mcg/ min |
|
|
|
recommending dopamine infusion for bradycardia if TC pacing not ready or not working
|
2-10 mcg/kg/min
|
|
|
|
recommended atropin dose while awaiting TC pacing
|
o.5 mg (can repeat up to a total of 3)
|
|
|
|
What is the definition of a wide QRS (as defined in ACLS manual)
|
>0.12 sec
|
|
|
|
You are presented with a stable patient with a narrow complex regular rhythm tachycardia (it is however not sinus tach) what is the next step.
|
A. Attempt vagal maneuvers
B. give adenosine - 6mg IVP (if no conversion give 12 and can repeat x 1) what happens if rhythm converts? what if it does not convert? |
probably reentry SVT, and in this case observe for re/entry and treat recurrence with adenosine or long acting AV nodal blocking agents such as diltiazem, B-blockers
if no conversion then it maybe aflutter junctional tach, ectopic atrial tach and it is adivsed to control rate (dilt, betablockers) as well as treat underlying cause |
|
|
describe the steps to syncronized vardioversion of atrial fib
|
1. sedate
2. turn on defib 3. attach leads (white to right, red to ribs) 4. press sync 5. look for markers on R wave 6. adjust gain until syncs 7. select apropriate energy energy level which is? 8. announce and press charge 9. clear the patient 10. press shock activate sync mode after delivery of each synchronized shock because most defibrilators default to unsynch mode to allow immediate conversion if v fib is produced |
afib (monophasic)
- 100-200J - 300 - 360 |
|
|
deliver monophasic syncronized shocks in the following sequence for Stable monomorphic VT
|
100
200 300 360 |
|
|
|
deliver monphasic synchronized shocks in the following sequence for SVT/A flutter
|
50
100 200 300 360 |
|
|
|
deliver monophasic synchronized shocks in the following sequence for polymorphic VT
|
treat as VF with High energy shock (defibrillation dose)
|
|
