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23 Cards in this Set
- Front
- Back
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II, III, AvF (STE)
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Inferior MI
Right coronary Artery |
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V1-V4 (STE)
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Anterior V1-V2
Septal V3-V4 LAD |
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V5-V6, I, AvL (STE)
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Lateral MI
Left Circumflex Artery |
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V1-V2 (STD)
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Posterior MI
Left Circumflex Artery or Right Coronary Artery |
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ACLS VF/VT
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Shock--> CPR 2 min --> Shock
Epinephrine 1mg q3-5 min Vasopressin 40 U x1 Amiodarone a) First Dose: 300 mg bolus b) Second Dose: 150 mg |
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ACLS Asystole
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CPR
Epinephrine 1 mg q 3-5 min Vasopressin 40U x1 |
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What is this rhythm and treatment?
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VTach
Epinephrine 1mg q3-5 Vasopressin 40U x1 Amiodarone a. 300 mg (first dose) b. 150 mg (second dose) |
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What is the rhythm and if symptomatic treatment?
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Transcutaneous Pacing
a. Atropine: 0.5 mg q 3-5 min (max 3mg) b. Dopamine gtt: 2-10 mcg/kg/min c. Epinephrine gtt: 2-10 mcg/min |
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Has a Pulse and Stable; what is the rhythm and next steps?
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SVT (Stable)
Adenosine 6 mg, Adenosine 12 mg, Adenosine 12 mg |
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Pulse/ unstable
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synchronized cardioversion
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Sotalol Dose
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100 mg (1.5 mg/kg) over 5 minutes. Avoid if prolonged QT.
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Procainamide Dose
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20-50 mg/min until arrhy suppressed, decr BP, QRS widens > 50%, or max dose 17mg/kg given. Maint dose 1-4 mg/min. Avoid if prolong QT or CHF
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Amiodarone Dose (VT w. pulse)
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150mg over 10min, rpt as needed if VT recurs
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What are the energy doses of monopasic and biphasic defibrillator to effectively terminate VF.
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Monophasic=360J
Biphasic=150-200 J (typically 200J) |
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SVT+pulse (unstable)- what are the recommended joule settings?
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Narrow regular: 50 - 100J Narrow irregular: 120 - 200J Wide regular: 100J
Wide irregular: defib dose (not synchronized) |
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Brady+pulse (symptomatic)- What is the protocol for this rhythm?
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O2/monitor/IV/Atropine .5mg IVP Q3-5m up to 3mg;
TCP 80 ma 80 bpm OR Dopamine 2-10 mcg/kg/min OR Epi 2-10 mcg/min |
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ACLS Bradycardia Drips (2)?
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Epi: 2-10 mcg/ min
Dopamine: 2-10 mcg/kg/min. |
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V-Tach+pulse (unstable)- What is unstable protocol?
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O2/IV, cardiovert 100J sync (if reg),
Amiodarone, Procainamide (avoid if prolonged QT or CHF) or Sotalol (avoid if prolonged QT) |
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V-Tach+pulse (stable)- What is the first drug you give for this?
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Amiodarone 150mg over 10 min
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What drugs to you avoid in A fib with WPW?
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1. Calcium Channel Blockers
2. Beta Blockers |
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Atrial Fibrillation (rate control)
- Normal Cardiac function |
1. Calcium channel blockers (Verapamil/ Diltiazem)
2. Beta Blockers (Esmolol, atenolol, and metoprolol) |
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Atrial Fibrillation (rate control)
- With WPW |
1 Amiodarone
2. Flecanide 3. Procainamide 4. Propafenone |
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Atrial Fibrillation (rate control)
- Compromised cardiac function |
Digoxin, Diltiazem, Amiodarone
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