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12 Cards in this Set

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  • Back
Asystole/ P.E.A.
Vitals ( ABC's, Pulse, B/P, Respirations.) Oxygen- 15 lpm non-rebreather ( manual/ op.)Monitor ( ensure pulse matches the monitor), IV @ TKO, Treatment-
CPR- 30:2/ 5cycles/ 2 minute
Epinephrine:1mg-1:10,000 IVP Reasses
CPR- 30:2/5 cycles/ 2 minutes
Atropine-1mg
Reasses
CPR- 30:2/ 5 cycles/ 2 min.
Epinephrine: 1mg,1:10,000 IVP
Reassess
CPR- 30:2 / 5 cycles/2 min.
Atropine- 1mg
Reassess
CPR 30:2/ 5 cycles/ 2 min.
Epinephrine: 1mg 1:10,000 IVP
Reassess
Atropine- 1mg
---Atropine max is 3mg, proceed with epinephrine.
----After 20 minutes consider Sodium Bicarb for acidosis.
Pulseless V-tach/ V-Fib

S.C.R.E.A.M.
(Witnessed? Proceed to Defib)
(Unwitnesses? Proceed to CPR)
Vitals( ABC's, B/P, Pulse, Respirations)
Oxygen 15 lpm ( OP, ETT)
Monitor - Does the pulse match the monitor?
IV- TKO rate
Treatment-
Witnessed? Defib
Unwitnessed? CPR
Defib @ 360 jules
CPR-30:2 5 cycles/ 2min
Epinephrine 1mg 1:10,000 IVP
Reasses
NO CHANGE?
Defib @ 360 Jules
CPR 30:2- 5cycles 2 min
Lidocaine- 1.5mg/kg
Reassess
NO CHANGE?
Defib @ 360 Jules
CPR 30:2- 5 cycles 2 min.
Epinephrine- 1 mg 1:10,000 IVP
Reasses
NO CHANGE?
Lidocaine- 1.5mg/kg
(Lidocaine is now maxed out)
Reasses
NO CHANGE?
Defib @ 360 Jules
CPR 30:2- 5 cycles 2 minutes
Epinephrine 1 mg 1:10,000 IVP
Reasses
NO CHANGE?
Defib @ 360 jules
CPR 30:2- 5cycles 2 min
Amiodorone 300mg
Reasses
NO CHANGE?
Defib @ 360 jules
CPR 30:2 5 cycles 2 min
Epinephrine 1 mg 1:10,000 IVP
Stable ( Asymptomatic)
Bradycardia
Vital-( ABC's, pulse, b/p, resp.)
Oxygen- 4-15 lpm
Monitor- treat the pt. not the monitor.
IV-
Treatment:
Transport, maintain vitals every 15 minutes
Unstable ( Symptomatic) Bradycardia

P.A.D.E.
Vitals- ABC's, pulse, b/p,resp
Oxygen- 4-15 lpm
Monitor- pulse match the monitor?
IV
Treatment-
Pace- 60- 100 bpm
Atropine- .5 mg max of 3mg
Dopamine-2-20 mcg/kg/min
Epinephrine- .5mg 1:10,000 IVP
Stable ( Asymptomatic)
V-tach
Vitals- ABC's,pulse, b/p, resp
Oxygen- 5-15 lpm non-rebreather mask
Monitor- pulse match the monitor?
IV
Treatment:
Lidocaine- 1mg/kg to a max of 300mg
Amiodorone- 150 mg over 10 minutes, followed by 75mg.
Unstable (Symptomatic)
V-Tach
Vitals- ABC's, pulse, resp, b/p
Oxygen- 15 LPM non-rebreather
Monitor- Pulse match Monitor?
IV
Treatment:
Versed:1-3 mg
Cardiovert @-
100 j.
200 j.
300 j.
360 j.
Lidocaine- 1mg/kg max of 300mg
Adenosine-
6mg/10cc flush
12mg/10cc flush
12mg/10cc flush
SVT

V.A.V.
Vitals: ABC's, pulse, b/p, resp
Oxygen- 5-15 lpm non-rebreather
Monitor-Pulse match monitor?
IV
Treatment:
Vasalva manuever
Adenosine-
6mg/10cc flush
12mg/10cc flush
12mg/10cc flush
Varapamil-2-5 mg over 2 minutes SLOW IVP.
Stable (Asymptomatic)
Narrow complex Tachycardia
Vitals-ABC's pulse, b/p, resp
Oxygen- 15 lpm non rebreather
Monitor- pulse match monitor?
IV
Treament:
Adenosine:
6mg/10cc flush
12mg/10cc flush
12mg/10cc flush
Lidocaine- 1mg/kg max of 300mg
Unstable (Symptomatic
Narrow Complex Tachycardia
Vitals- ABC's, pulse, b/p, resp
Oxygen- 15 lpm nonrebreather
Montor- pulse match monitor?
IV
Treatment:
Versed- 1-3 mg
Cardiovert @
100 j.
200 j.
300 j.
360 j.
Adenosine-
6mg/ 10cc flush
12mg/10 cc flush
12mg/10 cc flush
Lidocaine- 1mg/kg max of 300mg.
CHF-

NI, LA, MO
Vitals- ABC's, pulse, b/p, resp.
Oxygen-15 lpm non rebreather
Monitor- pulse match monitor?
IV
Treatment:
B/p over 100 systolic?
Nitorglycerine-.4 mg sl.
reasses
Lasix- 20mg-40mg if not rx'd
40-80mg if rx'd
reassess
Morphine- 2-5mg up to 10mg
Myocardial Infarction
Chest pain
M.O.N.A.
Vitals-ABC's pulse, b/p, resp.
Oxygen-15 lpm nonrebreather
Monitor- pulse match monitor?
IV
Treatment:
ASA- Aspirin- 81mg X 4 chewed up
Systolic over 100mmhg?
Nitrogylcerine- .4mg sl spray
Morphine 2-5mg up to 10 mg
Cardiogenic Shock
Vitals- ABC's, pulse, b/p, resp
Oxygen-15 lpm nonrebreather
Monitor
IV
Treatment:
Dopamine- 2-20 mcg/kg.min