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15 Cards in this Set
- Front
- Back
Pulseless arrest
VF/VT |
Tx: Shock 200 J
CPR x 5 cycles Recheck Shock CPR x 5, Recheck (Intubate), (H&Ts) IV/IO access Epi 1 mg IV/IO (Repeat q 3-5 min) OR Vasopressin 40 U IV/IO (may replace 1st or 2nd dose epi) shock CPR x 5 Amiodarone 300 mg IV/IO (may repeat 150 mg once) OR Lidocaine 1-1.5 mg/kg (may repeat .5-.75 mg/kg up to 3 mg/kg) shock CPR x 5 (Drip: .2-2 mg/min amiodarone, 2-4 mg/min lidocaine) |
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Asystole/PEA
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IV-IO Access
Epi 1 mg IV/IO (repeat q 3-5 min) OR Vasopressin 40 U IV/IO for 1st or 2nd dose Epi CPR x 5 (Intubate) (H&Ts) Recheck Atropine 1 mg IV/IO (repeat 3-5 min up to 3 doses) |
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Hs and Ts
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Hypovolemia
Hypoxia Hydrogen ion (acidosis) Hypo/hyperkalemia Hypoglycemia Hypothermia Toxins Tamponade, cardiac Tension pneumothorax Thrombosis, heart/lung Trauma (volume, ICP) |
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Bradycardia, severely symptomatic/ Mobitz II or 3rd blocks
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Hs&Ts
Transcutaneous pacing |
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Bradycardia, not severely symptomatic/ Mobitz II or 3rd degree block
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Hs&Ts, Atropine .5mg IV q 3-5 min, max 3 mg in 24 h
Dopamine 2-10 ug/kg/min OR Epinephrine drip 2-10 ug/min |
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Tachycardia, with pulse, unstable
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May sedate
Synchronized cardioversion 200 J |
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Tachy, with pulse, stable, Narrow Regular
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SVT
Tx: vagal stim adenosine 6 mg Adenosine 12 mg (may repeat once) Control rate: Diltiazem, Beta blockers |
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Tachy, with pulse, stable, Narrow Irregular
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A-Fib/flutter
Tx: Consultation Control rate: Diltiazem, Beta Blockers |
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Tachy, with pulse, stable, Wide Regular
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V-tach
Tx: Amiodarone 150 mg over 10 min, may repeat to 2.2g/24h Elective cardioversion Can give amiodorone for burst of V tach or multifocal PVCs |
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Tachy, with pulse, stable, Wide Irregular
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Torsades de points
Tx: Magnesium 1-2 g/5-50 min, possible cardiovert |
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Narrow or wide, regular or irregular, delta wave
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WPW
Tx: Consultation Amiodorone 150 IV/10 min |
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Just tachy (jxn tach, sinus tach, atrial tach, a fib if tach, a flutter if tach)
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Tx cause/rate
Examples: stimulants, dehydrated, viral, H&Ts |
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MI
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MONA:
Morphene Oxygen Nitroglycerin Asprin |
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Slow down drugs
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Beta blocker
Diltiazem Adenosine Amiodarone Lidocaine |
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Speed up/listen up drugs
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Epinephrine
Vasopressin Atropine Dopamine |