18 - Adult - Unstable WCT Flashcards
1
Q
For the unstable adult WCT patient, what is the preferred intervention?
A. Lidocaine at 1mg/kg IV/IO over 2 minutes
B. Synchronized cardioversion
A
B. Cardioversion*
*What’s the dose? 100J, 200J, 300J, 360J?
2
Q
What complaints with WCT should prompt synchronized cardioversion of the adult patient?
A
- ALOC
- Diaphoresis
- Chest pain
- Pulmonary edema
- Hypotension
3
Q
Midazolam dose for unstable adult WCT?
A
2 mg IV/IO
4
Q
Ketamine dose for unstable adult WCT?
A
2.5 mg/kg IV/IO
5
Q
What are the contraindications for midazolam/ketamine in synchronized cardioversion of the unstable adult WCT patient?
A
- SBP under 100 mmHg
- RR under 10 per minute
6
Q
Total dose of lidocaine in the unstable adult WCT patient?
A
3 mg/kg
