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35 Cards in this Set
- Front
- Back
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Bradycardia |
Cold: warm pt. Epinephrine titrated to effect or paced rhythm. |
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Tachycardia |
SVT or other narrow ventricular complex rhythms. |
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SVT |
Adenosine 6mg followed by 20 ml fluid bolus (flush). 1-2 minutes second dosage of 12mg by 20 ml fluid bolus. Cardiovert: 50 joules then 100 Joules |
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Narrow Complex Rhythms |
Treat the H's and T's |
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H-ypovolemic |
Dehydrated: fluid bolus Wet lung sounds- CPAP |
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H-ypoglycemic |
Glucagon will only work once and high risk for reoccurrenceD50 with 100 mg Thiamine IV Stabilize with protein and carbohydrate |
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Acidosis/Alkalosis |
Metabolic acidosis - Sodium BicarbonateRespiratory acidosis – Ventilate and increase respirationsRespiratory Alkalosis and metabolic alkalosis – slow pt breathing |
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Toxic Substances |
Give Antidote |
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Narcan |
Narcan Opiod antagonist |
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Romazacon |
Benzodiazepine receptor antagonist Aka Flumazenil |
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Dd |
Dd |
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Atropine |
Organophosphates- parasympathetic agonist |
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Alcohol |
Fluid bolus |
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Vtach with a Pulse |
Antidysrhythmics (lidocaine or amiodarone)- with pulse dosages Synchronized cardioversion starting at 100 J |
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Pulse less Vtach or Vfib |
CPR DefibrillationEpinephrine every 3-5 minutesAmiodarone |
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Asystole PEA |
CPR Epinephrine every 3-5 |
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Torsade’s |
Magnesium! |
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Chest pain |
O2 if under 95% ASA 12 lead IV Nitro if BP over 90 and no right sided. Have IV established. Check for contraindications. |
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12-Lead EKG
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Rate Rhythm Hemiblock BBB Elevation or Depression |
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Hemiblock
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Can be Anterior, Posterior, or Ventricular |
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Branches of Heart
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One Right Two Left Can have right and/or left hemiblock |
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Determine if Hemiblock
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Leads I, II, and III UP or DOWN? Refer to cheat sheet or MEMORIZE! |
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Hemiblock Cheat Sheet
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Anterior Hemiblock
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Lead I: UP Lead II: DOWN Lead III: DOWN |
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Posterior Hemiblock
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Lead I: DOWN Lead II: UP or DOWN Lead III: UP |
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Ventricular Hemiblock
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ALL LEADS DOWN Wide QRS without P waves |
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Bundle Branch Block Description
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Entire left branch is blocked Can also present with a hemiblock Found in V1 |
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BBB- Criteria
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Wide QRS UP or DOWN means RIGHT or LEFT bundle branch block UP: RIGHT |
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Bifascicular block: Three types
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Four times at risk for an MI 1. Left BBB 2. Anterior Hemiblock and Right BBB 3. Posterior Hemiblock and Right BBB |
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MI on 12-Lead
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Elevation or depression in all leads Elevation: Current MI happening, intervene with MI treatments Depression: Former MI or ischemia |
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MI Treatment
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Aspirin Morphine Nitro (Not in right sided MI) Oxygen if less than 96% TPA- breaks up blood clots |
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MI Elevation |
Anterior: V3, V4 Anterolateral: I, aVL, V3, V4, V5, V6 Anteroseptal: V1, V2, V3, V4 Inferior: II, III, aVF Lateral: I, aVL, V5, V6 Posterior: NONE will show on 15 Lead Septal: V1, V2 |
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MI Elevation Cheat Sheet
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Pericarditis
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Elevation in all 6 leads Can lead to Tamponade |
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Reading 4 Lead
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Regularity Rate P waves? 1 for every QRS? QRS wide or Narrow |
