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12 Cards in this Set
- Front
- Back
Asystole/ P.E.A.
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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. |
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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 |
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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 |
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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 |
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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. |
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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 |
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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. |
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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 |
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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. |
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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 |
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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 |
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Cardiogenic Shock
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Vitals- ABC's, pulse, b/p, resp
Oxygen-15 lpm nonrebreather Monitor IV Treatment: Dopamine- 2-20 mcg/kg.min |