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;
10 Cards in this Set
- Front
- Back
Bradycardia with pulse
"slow heart rate but you can feel a pulse" Step 1 |
Support ABC's as needed
Give OXYGEN attach monitor/defibrillator |
|
Bradycardia with pulse
despite giving OXYGEN and attaching monitor/defibrillator |
If HR < 60/min and poor perfusion start CPR
|
|
Symptomatic Bradycardia with pulse, patient on OXYGEN and CPR has begun.
|
Give Epinephrine IV/IO
0.01mg/kg (1:10000 0.1mL/kg) repeat q 3-5 minutes ET 0.1mg/kg (1:1000 .1mL/kg) |
|
Symptomatic Bradycardia with pulse, CPR in progress, Epinephrine given but now patient has increased vagal tone or primary AV block
|
Atropine 0.02mg/kg may repeat dose until max 1 mg
consider cardiac pacing |
|
Reminders for CPR
What is the rate of compressions? 6 H's and and 5 T's |
rate: 100/min
6 H Hypovolemia, Hypoxia, Hydrogen ions, Hypo/hyperkalemia Hypoglycemia, Hypothermia 5T Toxins, Tamponade, Tension pneumothorax, Thrombosis, Trauma |
|
Tachycardia with pulse and Poor perfusion
*Rapid Heart Rate with pulse |
Assess and support ABC
give OXYGEN Attach Monitor/ defibrillator |
|
Tachycardia with pulse and Poor perfusion despite OXYGEN.
NARROW QRS (<0.8 sec) Evaluate Rhythm with 12 lead Probable Sinus Tachycardia |
Search for and treat cause
|
|
Tachycardia with pulse and Poor perfusion despite OXYGEN.
NARROW QRS (<0.8 sec) Evaluate Rhythm with 12 lead Probable Supraventricular Tachycardia *P waves absent HR >220 infants HR >180 children |
Start
Vagal Maneuvers Give adenosine may repeat x 1 or SHOCK with 0.5-1 J/kg if repeat then 2 J/kg If unsuccessful give amiodarone OR procainamide |
|
Tachycardia with pulse and Poor perfusion despite OXYGEN.
WIDE QRS (>0.8 sec) Possible Ventricular Tachycardia |
Shock 0.5-1 J/kg, increase to 2 J/kg for second shock
May attempt adenosine May consider amiodarone OR procainamide |
|
Pulseless Arrest
BLS algorithm, Continue CPR, Give OXYGEN, attach monitor /defibrillator |
Check Rhythm
Shockable or not |