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14 Cards in this Set
- Front
- Back
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What is the criteria for utilizing the PVC protocol?
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Chest pain suggestive of cardiac origin with PVCs characterized by one or more of the following:
Coupled Multifocal R-on-T Greater than 6 PVCs / min Non-sustained V-Tach (V-Tach runs) |
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After managing the airway and gaining IV access, what are the criteria for administering Lidocaine in the PVC protocol?
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Electrical Rate > 60 bpm
Systolic BP > 90 mmHg No 2nd Degree Type II or 3rd Degree Heart Block |
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What is the initial dose and route of Lidocaine in the PVC protocol?
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1.0 mg/kg IV. If acute CHF, liver dysfunction, or 70 years old or older - 0.5 mg/kg IV.
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What are the circumstances in which you would administer 0.5 mg/kg Lidocaine IV as the first dose in the PVC Protocol?
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Acute CHF
Liver Dysfunction At least 70 Years Old |
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After the first dose of Lidocaine in the PVC Protocol, how long do you wait between subsequent doses?
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5 minutes
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What is the maximum total amount of Lidocaine that can be administered in the PVC Protocol?
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3 mg/kg. If acute CHF,
liver dysfunction, or patient is at least 70 years old, 1.5 mg/kg. |
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After the first dose of Lidocaine in the PVC Protocol, what are the doses of subsequent Lidocaine administrations
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0.5 mg/kg. If acute CHF,
liver dysfunction, or patient is at least 70 years old, 0.25 mg/kg. |
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Under what circumstances would you stop administering Lidocaine in the PVC Protocol?
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Maximum total dose already administered.
Ectopy is suppressed (however, will establish a Lidocaine Drip). |
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In the PVC Protocol, if the ectopy is suppressed by Lidocaine IV administration, what is the next step?
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Establish a Lidocaine drip.
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What is the Lidocaine drip mixture for the PVC Protocol?
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2 grams Lidocaine in 500 ml D5W or 1 gram Lidocaine in 250 ml D5W to yield 4 mg Lidocaine per 1 ml D5W.
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What size dripset is utilized for a Lidocaine drip administration in the PVC Protocol?
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60 microdrips/ml
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What is the Lidocaine infusion rate (mg/min and drips/min) in the PVC Protocol?
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If already admininstered 1 mg/kg, administer 2 mg/min (30 drips/min).
If already admininstered between 1 and 2 mg/kg, administer 3 mg/min (45 drips/min). If already admininstered between 2 and 3 mg/kg, administer 4 mg/min (60 drips/min). |
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What is the criteria for discontinuing a Lidocaine Drip in the PVC Protocol?
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Patient develops:
Slurred speech Confusion Seizures Coma Paralysis Apnea |
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If the patient develops slurred speech, confusion, seizures, coma, paralysis, or apnea during the administration of a Lidocaine drip in the PVC Protocol, what is the next step?
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Contact Medical Control
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