Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
13 Cards in this Set
- Front
- Back
|
V-fib/Pulseless V-tach
|
•Defibrillation
•Epinephrine 1 mg q 3-5 min •Choose: Lidocaine 1 – 1.5 mg/kg (max dose 3 mg/kg) q 3-5 min drip 1-4 mg/min Procainamide 20-50 mg/min (max dose 17 mg/kg or other endpoints) drip 1-4 mg/min Amiodarone 300 mg drip 150 mg over 10 min (15 mg/min) •*Sodium Bicarbonate 1 mEq/kg |
|
|
Pulseless Polymorphic Vtach/
Torsades de Pointes |
•Defibrillation
•Magnesium Sulfate 1-2 g in 10mL over 1-2 min |
|
|
Asystole
|
•Epinephrine 1 mg q 3-5 min
•Atropine 1 mg q 3-5 min (max 0.04 mg/kg) •*Sodium Bicarbonate 1 mEq/kg •Transcutaneous Pacing (if used VERY soon after asystole begins) |
|
|
PEA
|
•Epinephrine 1 mg q 3-5 min
•Atropine 1 mg q 3-5 min (max 0.04 mg/kg) only if HR < 60 •*Sodium Bicarbonate 1 mEq/kg |
|
|
Bradycardia
|
•Atropine 0.5 – 1 mg
if heart transplant, consider Isproteranol 2-10 mcg/min do not use with 2 Degree Type II or Type III HB •Transcutaneous Pacing •Dopamine drip 5 mcg/kg/min (titrate up to 20 mcg/kg/min) only if BP > 70 •Epinephrine drip 2-10 mcg/min only if BP < 70 |
|
|
Unstable SVT/A-flutter with a Pulse
|
•Synchronized Cardioversion 50 Joules and up
•*Diazepam or Midazolam |
|
|
Unstable Tachycardias with a Pulse (besides SVT/PSVT/A-flutter)
|
•Synchronized Cardioversion 100 Joules and up
•*Diazepam or Midazolam |
|
|
Unstable Polymorphic Vtach/Torsades de Pointes with a Pulse
|
•Defibrillation 200 Joules and up
•*Diazepam or Midazolam |
|
|
Stable A-fib/A-flutter
|
•Diltiazem 0.25 mg/kg, repeat at 0.35 mg/kg
•Amiodarone 150 mg only if conversion needed only if < 48hrs |
|
|
EAT/MAT/Junctional Tachycardia
|
(eat matt's junk - don't convert)
•Vagal Maneuver •Adenosine 6mg – 12 mg – 12 mg (flush with 10-20 mL) •Diltiazem 0.25 mg/kg, repeat at 0.35 mg/kg OR •Amiodarone 150 mg |
|
|
Undetermined Narrow Tachycardias
|
•Vagal Maneuver
•Adenosine 6mg – 12 mg – 12 mg (flush with 10-20 mL) •Diltiazem 0.25 mg/kg, repeat at 0.35 mg/kg •Amiodarone 150 mg |
|
|
WPW
|
•Synchronized Cardioversion 100 Joules and up
OR •Amiodarone 150 mg OR •Procainamide 20-50 mg/min (max 17 mg/kg) |
|
|
Stable V-tach with a Pulse
|
•Choose:
Amiodarone 150 mg over 10 min Lidocaine 0.5-0.75 mg/kg Procainamide 20-50 mg/min (max 17 mg/kg) |
