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15 Cards in this Set

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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)
Asystole/PEA
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)
Hs and Ts
Hypovolemia
Hypoxia
Hydrogen ion (acidosis)
Hypo/hyperkalemia
Hypoglycemia
Hypothermia
Toxins
Tamponade, cardiac
Tension pneumothorax
Thrombosis, heart/lung
Trauma (volume, ICP)
Bradycardia, severely symptomatic/ Mobitz II or 3rd blocks
Hs&Ts
Transcutaneous pacing
Bradycardia, not severely symptomatic/ Mobitz II or 3rd degree block
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
Tachycardia, with pulse, unstable
May sedate
Synchronized cardioversion 200 J
Tachy, with pulse, stable, Narrow Regular
SVT
Tx: vagal stim
adenosine 6 mg
Adenosine 12 mg (may repeat once)

Control rate: Diltiazem, Beta blockers
Tachy, with pulse, stable, Narrow Irregular
A-Fib/flutter
Tx: Consultation
Control rate: Diltiazem, Beta Blockers
Tachy, with pulse, stable, Wide Regular
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
Tachy, with pulse, stable, Wide Irregular
Torsades de points
Tx: Magnesium 1-2 g/5-50 min, possible cardiovert
Narrow or wide, regular or irregular, delta wave
WPW
Tx: Consultation
Amiodorone 150 IV/10 min
Just tachy (jxn tach, sinus tach, atrial tach, a fib if tach, a flutter if tach)
Tx cause/rate
Examples: stimulants, dehydrated, viral, H&Ts
MI
MONA:
Morphene
Oxygen
Nitroglycerin
Asprin
Slow down drugs
Beta blocker
Diltiazem
Adenosine
Amiodarone
Lidocaine
Speed up/listen up drugs
Epinephrine
Vasopressin
Atropine
Dopamine