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34 Cards in this Set

  • Front
  • Back
What is the treatment for polymorphic ventricular tachycardia?
1st determine if electrolyte problem or drug toxicity. Then:
normal QTI give amiodarone--> cardioversion if unresolved
long QTI give magnesium ---> overdrive pacing
What are the causes of Pulseless Electrical Activity?
nemonic- 5H 5T
Hypovolemia
Hypothermia
Hypoxia
Hydrogen ion (acidosis)
Hyperkalemia (preexisting)
Tablets/Toxins (overdose)
Tamponade
Tension pneumo
Thrombosis (coronary)
Thrombosis (pulmonary)
What ACLS meds can be given via endotracheal tube?
Lidocaine
Atropine
Narcan
Epinephrine
Amiodarone is the first drug in the treatment of v-fib. T or F?
True
Name the causes of pulseless electrical activity.
MI
Acidosis
Tension pneumo
Cardiac tamponade
Hypovolemia
Hypoxia
Hypothermia
Hyperkalemia
Pulmonary embolism
Overdose
Give the signs and symptoms produced by bradycardia or tachycardia that, if present, would cause you to consider the patient unstable.
shock
shortness of breath
persistent chest pain
pulmonary congestion
congestive heart failure (CHF)
hypotension
acute MI
decreased level of consciousness
Why is procainamide less desirable than adenosine in the management of the stable patient with a wide complex tachycardia of uncertain origin?
Procainamide has a greater potential for lowering BP and take longer to work
What are the interventions for Pulseless Electrical Activity (PEA)?
Problem
Epi 1mg IV q3-5m
Atropine c brady 1mg IV q3-5m
(max .04mg/kg)
How is a stable patient with ventricular tachycardia at 180 bpm managed?
O2, IV with lidocaine 1-1.5 mg/kg/bolus. Repeat 0.5-0.75 mg/kg every 5 min to max dose of 3 mg/kg. If resolves give lidocaine infusion. If not consider cardioversion.
What is the treatment for monomorphic ventricular tachycardia?
Amiodarone
synchronized cardioversion
A patient with flat line on ecg needs DC cardioversion. T or F?
False but be sure it's not fine v-fib.
What is the treatment for PSVT without CHF?
vagal maneuvers
adenosine
verapamil
DC cardioversion
amiodarone
What is the treatment for PSVT with CHF?
vagal maneuvers
adenosine
DC cardioversion
Digoxin
Amiodarone
Diltiazem
Calcium chloride is the antidote for dig toxicity. T or F?
false
What is the nemonic commonly used for initial treatment of tachycardic rhythms?
O MI (oh my!)
O2
Monitor
IV
What is the treatment for serious bradycardia (<60bpm)and/or brady c serious signs/symptoms?
nemonic- All trained dogs eat Iams
Atropine .5-1mg IV push q3-5m
(max .03-.04mg/kg)
Trans Cutaneous Pacing (TCP)
Dopamine 5-20 ug/kg/min
Epi 2-10 ug/min
Isoproterenol ug/min
Bradycardias should always be treated in the setting of an MI. T or F?
False
unless they are symptomatic (ie hypotension, short of breath etc.)
Hyperventilation is used to manage increased intracranial pressure. T or F?
True
What is the treatment for ventricular fibrillation and pulseless v-tach?
nemonic- Please Shock Shock Shock EVery Body Shock And Lets Make Patients Better.

Precordial thump
200 joules
200-300 joules
360 joules
(2ndary survey)
Epinephrine 1mg IV q3-5 min
Vasopressin 40 U IV one time
(wait 10-20 before epi again)
Amiodarone 300mg IV push
(repeat 1x 150 mg in 3-5 min max 2.2g IV in 24h)
Lidocaine 1.0-1.5 mg/kg IV
(repeat in 3-5 min max 3mg/kg)
Mag sulfate 1-2g IV 2min push
(if susp hypomag or torsade)
Procainamide 30mg/min or 100mg boluses q 5 min
(max 17mg/kg)
Bicarb 1mEq/kg for preexisting hyperkalemia, bicarb resp acidosis, overdose)
Can I use these cards as my primary knowledge base for ACLS?
NO! Much has not been covered. And, sadly, I am human and make mistakes. You must research ACLS and check local protocol.
Verapamil should be avoided in WPW with atrial fibrillation. T or F?
True
Atropine when given intravenously is administered rapidly. T or F
True
What drugs are avoided in WPW?
adenosine
beta-blockers
calcium channel blockers
digoxin
What is the first antidysrhythmic administered in v-fib?
lidocaine
What is the treatment for asystole?
nemonic- Check another lead and have TEA
Transcutaneous Pacing
Epinephrine 1mg IV q3-5m
Atropine 1mg IV q3-5m
(max .04mg/kg)
Verapamil should not be used in a wide-complex tachycardia of unknown origin. T or F?
True
What is the treatment for atrial fibrillation/flutter?
Diltiazem
non emergent cardioversion is avoided
Did the author come up with these questions on his own?
Only if I want to admit to plagiarism. Some of the questions are mine. Some are from WWW.ACLS.net (a great resource!) The others have come from various books of study. I make no claim to their origin other than copying them for my personal use.
What is the first two steps in the initial treatment of narrow complex tachycardias?
Vagal maneuvers (if rate changes is probably PSVT)
Adenosine
What are the Narrow complex tachycardias?
-Junctional
-Ectopic or multifocal
-Paroxysmal Suprventricular Tach (PSVT)
What is the treatment for Junctional and ectopic tachycardia?
vagal maneuvers
adenosine
amiodarone
What is the treatment for Wolf-Parkinson White (WPW)?
Amiodarone
cardioversion is avoided
Adenosine blocks conduction through the AV node. T or F?
True
When is v-fib or pulseless ventricular tachycardia termed refractory or persistent?
if continues after CPR, intubation, ventilation, 4 defibs, and one or more doses of epi.