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39 Cards in this Set
- Front
- Back
- 3rd side (hint)
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MCC of sudden cardiac death in adults?
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V Fib
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Highest rate of survival is when BLS is attempted when?
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within 4 minutes and when ACLS is initiated within 8 mins
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MCC obstruction of unconscious victim airway?
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tongue
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Goals of BLS?
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Assess, Activate EMS, ABCs of CPR ( CAB)
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Rate of compressions?
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80-100, 20 per 2 breaths
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MCC foreign body obstruction in adults?
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piece of meat
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Seconday survey options for ABCDs?
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Airway: endotracheal tube, laryngeal mask airway, Breathing: check for bilat breath sounds and rise, C: establish IV and give fluids and IV meds, D: Ddx
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Drugs given through ETT?
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ALE: atropine, lidocaine, epi; at2.5 times IV dose
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Tx for torsades?
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Mg sulfate
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Main intervention for v-fib?
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cardioversion with defibrillator
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When is sodium bicard appropriate?
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TCA overdose suspicion or known acidosis
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Drugs for v-tach?
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Vasop 40 mg, Epi, Amiodarone, lidocaine, procainamide
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PEA algorithm?
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ABCs, O2, cardiac monitoring, O2, ECG, CXR,
- give epi/vasopresin or atropine |
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what rhythm must ever be shocked?
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asystole
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Asystole tx?
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- consider transcutaneous pacing.
- epi vs atro[pine every 3-5 mins. |
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Tx of unstable bradycardia?
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atropine unless heart is denervated, then go to TCP with sedation, dopamine, and epinepherine
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drugs that can be administered via endotracheal tube? Dosing?
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ALEN - atropine, lidocaine, epinephrine, naloxone; 2.5x dose + IV flush and bagging
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Best thing for Vfib?
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Vfib DEfib immediately
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Drugs used in Vfib?
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Epinephrine
Lidocaine Amiodarone Mag Procainamide Sodium bicarb |
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If hyperkalemia is suspected, what to treat with?
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CALCIUM
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If TCA supected, what to treat with?
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sodium bicarb
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Causes of PEA?
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hypovolemia
O2 low Thermal low Massive PE Acidosis Tension pneumo Cardiac tamponade Hyperkalemia MI Drug OD - beta b, digoxin, CCB |
HOT MATCH MD
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Tx of PEA?
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reverse cause and give 1g epi
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Treatment of unstable bradycardia?
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Transq pacing is optimal:
dopamine atropine transq pacing epi |
DATE
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Tx of a fib?
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if unstable, cardiovert; if stable, block AV node; first line is diltiazem
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How to administer atropine for PSVT?
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6mg IV push RAPIDO!! RAPIDO!!
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To nonpharm methods of treating PSVT? Their CIs?
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carotid massage ( CI with bruits); ice bath (CI with MI)
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hypotension?
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<100/60
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shock is?
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inadequate tissue perfusion
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hypotension can be divided into what three categories?
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rate, pump, and volume problems
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Rapid Sequence Intubation Algorithm 8 p's?
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Prepare Pretreat Position Preoxygenate (until PO2 100), Pressure, Paralyze, Placement of tube, Position confirmation.
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What is "pressure" in the RSI algorithm?
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Sellick Maneuver: compresses esophagus to decrease aspiration risk.
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What is "pretreat" in the RSI algrithm?
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pretreat with drugs: lidocaine for head trauma adults and Atropine for children to prevent bradycardia.
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benefit of etomidate for sedatin?
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doesn't cause hypotension
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agents for paralysiz?
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succinylcholine and vecuronium:succ has shorten onset and duration.
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if ETT fails, what can be done?
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needle cricothyroidectomy
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downside of needle crich
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though O2 can be establish, adequate CO2 removal is not acheived.
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How to insert cric needle?
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14G 45 degrees twoards feet into crichothyroid membrane.
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Steps for surgical cric?
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2 cm horizontal stab at crichothyroid membrane, dilate, place treacheostomy tube , secure airway
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