12) ACLS Flashcards
Extreme right axis deviation
Caused by: VT} ventricular rhythms/PVCs,
2 things to do while obtain history:
12/15 leads w/ history
EMD
Electrical Mechanical disassociation (same as PEA)
Stable & symptomatic doesnt always mean
medicate; ex vagal is all that is needed
Verapamil) dose, for, vs diltiazem
= 2.5-5mg for AFIB RVR alt, drops BP more than diltizem
Cardioversion intial J range
if cant sync on T wave
50-100J
change lead views
Atropine doesnt correclty under 2 conditions
Denervated/transplanted heart & dose < 0.5mg
TCP pad placement
anterior posterior “Sandwich”
before giving fluids
listen Lung sounds
L side heart pump failure effects
lung back up “L L Left Lungs”
3rd degree can have QRS b/c
narrow QRS bc
Left picking up impulse gives wide QRS &
bundle his picks up first
Glucagon Ca OD:
heart has Glucagon receptors on SA & AV, opens up Ca cells to allow Ca inflex,
If pacing doesnt work
go other intervention medicating
Pacer spikes definers
no more than/ at least 1 SB,
Printed filled is our pacer spikes hallowed is PT’s
If Tachy from redbulls
= use benzo
Supratach, AVNRT AVRT least common (WPW)
AF w/ RVR with chem cardioversion
can convert 1st try
if re-cardioverting
Resync (with Jules move or turn of oxy)
L sided heart thrombus goes to:
R-sided heart thrombus goes to:
ischemic stroke types:
= brain
= lungs
= Thromibic & embolic ischemic stroke
if having trouble defining VT for some reason
VT V1+ V6- (Most VT pts symptomatic )
Stable amiodarone admin BP effect so
If PT decomposing from amino
TANKS B/P so give slow
shut off & vert
Most common cause of VT
MI / STEMI
for 1mg/ml drip W/ Amino
2Gs in 500mL bag
VF/pVT drug flow/order
Shock, EPI, shock, anti,
Mag BP effect
smooth M. relaxor so vaso-dialates
WITNESSED Ventricular arrest
defib 1st, decrease perishock interval (>10sec dead)
PEA:
any pulseless rhythm but VT
AFib & Flutter w/ RVR clinical notes:
Diltiazem give slow,
SVT clinical notes:
IV can vagal someone, Diltizem tanks BP
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