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28 Cards in this Set

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Is there a difference between the asystole and PEA algorithms?
Yes
What is the difference between the asystole and PEA algorithms?
The indications for giving atropine are different
How many differences are there between the asystole and PEA algorithms?
ONE!
What is the difference between the indications for giving atropine in asystole and the indications for giving PEA?
In the asystole algorithm you ALWAYS give atropine, and

in the Pulseless Electrical Activity (PEA) algorithm you only give atropine IF THERE IS A SLOW HEARTBEAT (<60 BPM)
What is the "Pulseless Electrical Activity" protocol for?
No pulse WITH some type of heart rhythm on the ECG (Pulseless Electrical Activity).
What is "Pulseless Electrical Activity"?
A heart rhythm on the ECG, but the heart is not moving.
What does "Pulseless Electrical Activity" look like?
???, but ??? are the most common?
What is the first step in the "Pulseless Electrical Activity" protocol?
Secondary ABCD's
What is the second step in the "Pulseless Electrical Activity" protocol?
Two minute cycles of CPR (Check rhythm and pulse every two minutes?).
What is the third step in the "Pulseless Electrical Activity" protocol?
PEA
What is PEA?
The acronym for "Pulseless Electrical Activity" (And asystole).
What does PEA stand for in the "Pulseless Electrical Activity" protocol?
Problem Search

Epinephrine

Atropine
How do you do a problem search?
Use "PATCH(4) MDs".
What does "PATCH(4) MDs" stand for?
Pulmonary Embolism
Acidosis
Tension Pneumothorax
Cardiac Tamponade
Hyperkalemia (Too much postassium)
Hypokalemia
Hypovolemia
Hypoxia
Myocardial Infarction
Drugs
shivering
What is the whole purpose of the problem search?
For you to see if the the patient has any of the problems on the list, and treat them if possible.
If necessary, what is the next step after "P" (Problem Search)in the "Pulseless Electrical Activity" protocol?
"E"...GIVE epinephrine or vasopressin.
How many times can you give vasopressin in the "Pulseless Electrical Activity" protocol?
ONCE
When can you use vasopressin in the "Pulseless Electrical Activity" protocol?
To substitute for the first or second dose of epinephrine.
How much epinephrine should you use for the "Pulseless Electrical Activity" (And asystole) protocols?
1 mg IV/IO every 3-5 minutes
If you choose to use vasopressin for the "Pulseless Electrical Activity" (And asystole) protocols, how much should you use?
40 U IV or IO push (Must wait ten minutes before you give another drug?)
In the "Pulseless Electrical Activity" protocol, how often should you give epinephrine?
Every 3-5 Minutes
What is the most epinephrine you should give in the "Pulseless Electrical Activity" protocol?
???
If necessary, what is the next step after "E" in the "Pulseless Electrical Activity" protocol?
"A"...Atropine
When should you give atropine in the "Pulseless Electrical Activity" protocol?
Only if there is a slow heartbeat?
How much atropine should you give for the "Pulseless Electrical Activity" and asystole protocols?
1 mg IV or IO push every 3-5 minutes
In the "Pulseless Electrical Activity" protocol (And asystole), how often should you give atropine?
Every 3-5 Minutes
What is the most atropine you should give in the "Pulseless Electrical Activity" protocol?
3 mg
What do pulseless electrical activity and asystole have in common?
The heart is not moving, and therefore there is no pulse.