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ACLS > 🚑🚒🚨🏥 > Flashcards

🚑🚒🚨🏥 Flashcards

1
Q

Stable bradycardia

A
  1. Get a 12 lead and call an expert
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2
Q

Unstable Bradycardia (including AV blocks)

A
  1. Atropine .5mg and repeat evert 3-5 min up to 3 mg
  2. If first dose didn’t do anything, subsequent doses wont either
  3. Proceed to transcutaneous pacing and/or dopamine drip 2-20mcg/kg/min or epinephrine drip 2-10mcg/min
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3
Q

Unstable bradycardia that didn’t improve with atropine

A
  1. Transcutaneous pacing and/or dopamine drip (2-20mcg/kg/min) or epinephrine drip (2-10mcg/min)
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4
Q

Unstable tachycardia (with a pulse)

A
  1. Synchronized cardioversion at 100 J unless it’s Atrial Fibrillation in which case you would do 120-200 J
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5
Q

Stable tachycardia with NARROW QRS (SVT)

A
  1. 12 lead ECG and vagal maneuvers
  2. Adenosine 6mg
  3. Adenosine 12 mg (Adenosine needs to be slammed. It will stop the heart for a few seconds)
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6
Q

Stable tachycardia with WIDE QRS (V Tach with a pulse)

A
  1. Antiarrhythmic such as Amiodarone 150mg diluted in 100mL D5W
  2. Try adenosine if they have monomorphic, stable, regular tachycardia
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7
Q

When is the only time you can try adenosine for stable tachycardia with a wide QRS

A

Monomorphic

Stable

Regular

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8
Q

Stable irregular tachycardia with narrow QRS (Atrial fibrillation or atrial flutter)

A
  1. Control rate with calcium channel blockers
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9
Q

Wide irregular tachycardia (Polymorphic VT/Torsade de Pointes)

A
  1. Defibrillate

2. Magnesium 1-2g diluted in 100mL D5W

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10
Q

PULSELESS WITH SHOCKABLE RHYTHM (VFib or PULSELESS V Tach)

A
  1. CPR
  2. ⚡️Shock as soon as AED available
  3. CPR 2 min
  4. ⚡️Shock
  5. Epinephrine after 2nd shock (repeat every 3-5 min)
  6. CPR 2 min
  7. ⚡️Shock
  8. Amiodarone 300mg after 3 shocks. give 2nd dose 150mg in 3-5 min. Don’t give more than 2 doses of amiodarone
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11
Q

When do you use amiodarone?

A

When someone has a shockable rhythm and you’ve already given them 3 shocks (between 1st and 2nd doses of Epinephrine)

OR

Stable tachycardia with wide QRS (VT with pulse)

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12
Q

Amiodarone dosage during shockable rhythm:

First dose

Second dose

A

First: 300mg

Second: 150mg

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13
Q

PULSELESS WITH NONSHOCKABLE RHYTHTM (PEA or Asystole)

A
  1. CPR
  2. Epinephrine
  3. Go back and forth between CPR and Epi
  4. After 10 minutes start talking to your team members about terminating resuscitation efforts
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14
Q

POST CARDIAC ARREST CARE

A
  1. Maintain airway and breathing
  2. Keep BP over 90mmHg using IV fluids, and if necessary, try vasopressors
  3. 12 lead ECG to r/o STEMI. If STEMI, go to cath lab
  4. If patient is unresponsive, do Targeted temperature management (maintain 32-34° for 24 hrs)
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15
Q

What is the correct temperature for TTM in post cardiac arrest care for an unresponsive patient?

A

32-36°C

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16
Q

If you look at the monitor and someone has 3rd° heart block (an unstable bradycardia), and then you notice that they don’t have a pulse, what drug do they need?

A.) atropine

B.) Epinephrine

A

Epinephrine (and CPR….this is PEA)

17
Q

What does it mean if youre doing CPR and the ETCO2 jumps up to 30-40

A

You got ROSC

18
Q

An unstable patient has a systolic BP less than ____

19
Q

If someone has a BP, it means they have a _____

20
Q

Steps for Acute Coronoary Syndrome

A
  1. ECG
  2. O2 if their spO2 is less than 90% (2-4 lpm)
  3. Aspirin 160-325mg
  4. Nitro 0.4mg
  5. HOLD nitro if: Right sided MI, BP less than 90, tachycardia, bradycardia, or viagra in last 48hrs
  6. Morphine 2-4mg every 5 min for pain that wasn’t relieved with nitro
  7. Go to a hospital with a PCI unit within 90 minutes
  8. If no PCI unit is possible, give tPA within 30 minutes
21
Q

When should you give Oxygen when a patient is having an MI

A

If their SPO2 falls below 90%

22
Q

Dosage of aspirin for someone having an MI

23
Q

Dosage of nitro

24
Q

If someone is having a heart attack, they need to be at a hospital with a PCI unit within ______ minuets

25
Q

If someon is having an MI and getting them to a hospital with a PCI unit (cath lab) is not possible, what should you do>?

A

TPA within 30 minutes

26
Q

How long after someon has a stroke can you give fibrinolytic therapy

A

3 to 4.5 hrs

27
Q

What is the only way to diagnose a stroke:

A.) contrast CT

B.) non-contrast CT

C.) MRI

D.) no imaging

A

B.) non contrast CT

28
Q

How do you confirm ET tube placement?

A

Waveform capnography

29
Q

True or false:

Waveform capnography, ETCO2 and PETCO are all the same thing

30
Q

If someone is intubated during CPR, you give 1 breath every ____ seconds and you (do/don’t) stop compressions for breaths

31
Q

If someone is not intubated during CPR, you give one breath every ______seconds

32
Q

Agonal or gasping respirations means:

A

Cardiac arrest

33
Q

An ETCO2 less than ____mm during compressions means you’re doing a bad job with Compressions

34
Q

Normal ETCO2 is:

ACLS (1 decks)

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