Reading...
Play button
Play button
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;
27 Cards in this Set
- Front
- Back
|
Stable AFib algorithm?
|
Calcium Channel Blockers
diltiazem (cardizem) .25 mg/kg (avg. 20mg for 70kg dying pt.) Slow IVP 15-30 min. later .35 mg/kg SIVP maintenance drip 10 ml/hr |
|
|
What are unstable cardiological clinical presentations?
|
decreased LOC
S.O.B. chest pain Altered mental status Hypotension Inadequate perfusion LLS (looks like shit) |
|
|
Unstable AFib algorithm?
|
synchronized cardioversion
50-100 joules |
|
|
What is the rate and rhythm for SVT?
|
Over 150 bpm, fast and narrow, QRS, Pwaves may be hidden
|
|
|
SVT unstable algorithm?
|
synchronized cardioversion
|
|
|
Stable SVT treatment algorithm?
|
Adenosine (adenocard) 6mg RIVP
1-2min. later 12 mg RIVP 1-2min. later 12 mg RIVP |
|
|
What is the treatment for Sinus Tach?
|
Treat the underlying causes; supportive care.
|
|
|
Sinus Brady algorithm?
|
(All) Atropine- .5- 1.0 mg RIVP
(Trained) Transcutaneous Pacing (TCP)- 30-100 mA (Dogs) Dopamine 2-20 mcg/kg/min Drip (Eat) Epi drip 2-10 mcg/min (Iams) Isuprel (not currently used) 2-10 mcg/min Same as 2nd and 3rd Heart Block |
|
|
2nd° Heart Block Type II (Mobitz Type II) Agorithm
|
(All) Atropine- .5- 1.0 mg RIVP
(Trained) Transcutaneous Pacing (TCP)- 30-100 mA (Dogs) Dopamine 2-20 mcg/kg/min Drip (Eat) Epi drip 2-10 mcg/min (Iams) Isuprel (not currently used) 2-10 mcg/min Same as Sinus Brady and 3rd Heart Block |
|
|
3rd° Heart Block Algorithm?
|
(All) Atropine- .5- 1.0 mg RIVP
(Trained) Transcutaneous Pacing (TCP)- 30-100 mA (Dogs) Dopamine 2-20 mcg/kg/min Drip (Eat) Epi drip 2-10 mcg/min (Iams) Isuprel (not currently used) 2-10 mcg/min Same as Sinus Brady and 3rd Heart Block |
|
|
What is the treatment for Sinus Tach, 2nd degree Type I (Wenckebach), ectopics, PVCs, PACs, PJCs?
|
Treat underlying causes; supportive care.
|
|
|
VFib Treatment Algorithm?
|
Epi (1:10,000) 1mg IVP no max dose
Amiodarone 300 mg IVP Magnesium Sulfate 1-2 grams IVP Lidocaine - 1- 1.5 mg/kg (105 avg dose) Sodium Bicarb 1ml equivalent/kg (Reverses acidosis) Vasopressin - 40 units (not currently used) Same as Vtach |
|
|
Pulseless V-tach Algorithm?
|
Epi (1:10,000) 1mg IVP no max dose
Amiodarone 300 mg IVP Magnesium Sulfate 1-2 grams IVP Lidocaine - 1- 1.5 mg/kg (105 avg dose) Sodium Bicarb 1ml equivalent/kg (Reverses acidosis) Vasopressin - 40 units (not currently used) Same as VFib |
|
|
Vtach w/pulse Algorithm?
|
Amiodarone 150 mg SIVP (10 min)
if unstable then Synchro Cardio |
|
|
PEA Algorithm?
|
Epi 1mg IVP
Atropine 1mg max 3mg Sodium Bicarb Same as Asys, Idio, Agonal |
|
|
Asystole Algorithm?
|
Epi- 1mg IVP
Atropine - 1mg IVPmax 3mg Sodium Bicarb |
|
|
Idioventricular Algorithm?
|
Epi- 1mg IVP
Atropine - 1mg IVPmax 3mg Sodium Bicarb |
|
|
Agonal arrhythmia algorithm?
|
Epi- 1mg IVP
Atropine - 1mg IVPmax 3mg Sodium Bicarb |
|
|
WPW- Wolff Parkinson White algorithm?
|
No Calcium channelblockers(diltiazem)
shock over 150 if unstable |
|
|
What does MONA mean?
|
M - morphine (mso4)- 2-10 mg IVP titrate to pain
O- o2 4l/min N- Nitro .4mg SL A- aspirin (ASA) 324 mg PO (4 baby aspirin) |
|
|
What does I See All Leads Stand for?
|
I- Inferior- II,III,aVF
S- Septal- V1, V2 A- Anterior- V3, V4 L- Lateral- I, aVL, V5, V6 |
|
|
What is the view used for most common M.I.'s?
|
Inferior, II,III,aVF
|
|
|
What is he view used for the most typically deadly MI conditions?
|
Lateral- 1, aVL, v5, v6
because they show left ventricle |
|
|
What are the hallmarks for BBB?
|
Atrial rhythm and wide QRS
|
|
|
What lead is used to identify lft or rt BBB?
|
V1
|
|
|
What is a hemi block?
|
Block of the fasicles; fasicular block.
|
|
|
What leads show fasicular blocks? What are the hallmarks?
|
I,II,III-
up, down,down = LAFB down, up, up = LPFB |
