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25 Cards in this Set
- Front
- Back
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If suspect person not breathing, how long should you check for pulse?
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≤10 sec
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When checking for a pulse, where should you palpate in an adult, child, and infant?
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carotid in adult
carotid or femoral in child brachial in infant |
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When giving CPR to an adult, how many compression and breaths per cycle?
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30 compression followed by 2 breaths
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What is recovering position?
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If STEMI, within what time frame should PCI or fibrinolytic therapy be initiated?
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PCI within 90 minutes or fibrinolytic therapy within 30 minutes only if <12 hours within onset of symptoms
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What is the clinical presentation that represents a high likelihood of ACS secondary for CAD?
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chest or LT arm pain or discomfort reproducing prior documented angina, known hx of CAD (including MI), hypotension, diaphoresis, transient MR murmur, rales, pulmonary edema, transient ST-segment deviation or T-wave inversion in multiple precordial leads, elevated cardiac enzymes (trop, ckmb)
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What is the clinical presentation of intermediate likelihood of ACS secondary to CAD?
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chest or LT arm pain or discomfort, >70y/o, male, DM, extracardiac vascular disease, fixed Q waves, ST depression or T wave inversion, normal cardiac markers
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What is the clinical presentation of low likelihood of ACS secondary to CAD?
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probable ischemic sxs in absence of any intermediate-likelihood characteristics, recent cocaine use, chest discomfort on palpation, T wave flattening or inversion in leads with dominant R waves, normal EKG and cardiac markers
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If pulse present, but breathing absent, how often should breaths be given?
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1 breath every 5-6 seconds for adults
1 breath every 3-5 seconds for children or infants recheck pulse every 2 minutes |
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Describe the fibrinolytic checklist for STEMI.
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Chest discomfort >15 min but <12 hours
STEMI or new LBBB No contraindications Systolic BP >180 or diastolic >100 RT vs LT arm systolic BP difference >15 mmHg Hx of Structural CNS dz Significant closed head/facial trauma within past 3 weeks Stroke >3 hours or <3 months Major trauma or surgery or GI/GU bleed in past 2-4 weeks Hx of intercranial hemorrhage Bleeding or clotting problems Blood thinners Pregnancy Serious systemic disease (advanced cancer, severe liver or kidney dz) No high risk factors HR ≥100 + systolic BP <100 Pulmonary edema (rales) Signs of shock (cool, clammy) Required CPR |
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What are the indications for naloxone?
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reverse effects of narcotic toxicity
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What are the indications for nitroglycerin?
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ischemic chest pain
HF (especially associated with myocardial ischemia) hypertensive emergency pulmonary HTN |
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What are the indications for furosemide?
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acute pulmonary edema
hypertensive emergency |
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What are the indications for morphine?
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ischemic chest pain refractory to nitroglycerin
acute cardiogenic pulmonary edema if BP adequate |
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What are the indications for calcium chloride?
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hypocalcemia
hyperkalemia hypermagnesemia CCB overdose |
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What are the indications for heparin?
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ACS (especially unstable angina or NSTEMI)
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What are the indications for captopril?
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ACE inhibitor given <24 hours post-MI
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What are the indications for aspirin?
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ischemic chest pain
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What are the indications for atropine?
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1st line for bradycardia
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What are the indications for epinephrine?
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pulseless ventricular tachycardia
ventricular fibrillation pulseless electrical activity asystole give 1 mg every 3 minutes if unresponsive to shock/CPR |
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What are the indications for vasopressin?
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may be substituted for epinephrine
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What are the indications for sodium bicarbonate?
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-known pre-existing hyperkalemia
-known pre-existing bicarbonate-responsive acidosis (diabetic ketoacidosis, overdose of aspirin, diphenhydramine, tricyclic antidepressants, cocaine) -prolonged resuscitation with effective ventilation |
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What are the indications for dopamine/doputamine?
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2nd line for bradycardia
SBP <100 with sxs of shock |
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What is the length of a prolonged QT interval?
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>.44 seconds
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What are the indications for diazepam?
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sedation before cardioversion
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