ACLS 1 Flashcards

1
Q

how to give adenosine

A

fast

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2
Q

how to give amio

A

slow (can drop BP), but fast if dead

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3
Q

how to give O2 if airway in place

A

continuous O2

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4
Q

other med people usually get when in a code

A

bicarb (acidotic for obvious reasons)

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5
Q

code labs

A

….

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6
Q

where to stand when managing code

A

foot of bed

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7
Q

new drug in code cart

A

methylpred (given with epi, has been shown to improve outcomes)

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8
Q

bristojet

A

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9
Q

drug and dose for torsades

A

Magnesium 2 grams

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10
Q

how to dose insulin for hyperK

A

Insulin regular 10 units IV push

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11
Q

5 H’s

A

Hypothermia
Hypokalemia

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12
Q

5 T’s

A

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13
Q

drug to give when ROSC is achieved.

A

amiodarone drip (still arrhythmogenic potential, so need to get an antiarrythmic on board)

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14
Q

how to dose sodium bicarb

A

50 mEq

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15
Q

other antiarrhythmic in code cart

A

lidocaine

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16
Q

calcium chloride vs calcium gluconate

A

calcium chloride is 3x more potent

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17
Q

most common rhythm responsible for sudden cardiac death

A

v fib

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18
Q

other meds for symptomatic bradycardia (other than atropine)

A

dopamine

epinephrine

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19
Q

t-PA other name

A

alteplase

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20
Q

how to dose t-PA + route

A

50 mg slow IV push over 2 minutes

  • not in code cart
  • also need to continue CPR for it to be effective
21
Q

frequency for giving epi in asystole

A

3-5 minutes

22
Q

chest compression rate for patients with advanced airway

A

100 per minute

23
Q

dose of amio for patient with pulse

A

150 mg

24
Q

adenosine fast or slow?

A

give fast, very slow half-life

25
Q

atropine dose

A

0.5 mg

26
Q

alternative drug to either first or second dose of epi in VT/VF

A

vasopressin

27
Q

dose, concentration, route of epi for anaphylaxis

A
  1. 3 mg IM

* there are two different concentrations of epi in codecart so watch out

28
Q

caveat about atropine in CICU

A

won’t work for heart transplant patients

29
Q

H’s

A

Hypovolemia, Hypoxia, Hydrogen ion (acidosis), Hyper-/hypokalemia, Hypothermia.

30
Q

H’s and T’s pnemonic

A

underlying factors in pulseless arrest

31
Q

T’s

A

Toxins, Tamponade(cardiac),Tension pneumothorax, Thrombosis (coronary and pulmonary)

32
Q

reversal drug for benzo overdose

A

flumazenil

33
Q

contraindication to atropine

A

if in block

34
Q

what to do if you panic or lose your train of thought

A

go back to assessment of vitals

35
Q

icationhow to reverse oversedation

A

0.1 mg narcan

36
Q

adenosine impt contrind

A

asthma (can throw someone into respiratory arrest)

- give dilt or metop instead

37
Q

what does high end tidal CO2 mean generally during a code?

A

ROSC

38
Q

What to do after intubating every time

A

Recheck a pulse

39
Q

pressor usually used

A

dopamine

40
Q

should you sedate a person before cardioversion?

A

depends on how stable they are

41
Q

Blood pressure threshold for stable patient

A

90 sbp

42
Q

voltage to start at for pacing

A

120 joules

43
Q

how to capture when pacing

A

turn up milliamps until 1:1 pacing

44
Q

what to use for sedation pre cardioversion

A

versed (but not in codecart generally)

45
Q

exam to use for stroke assessment

A

FAST

46
Q

Drug mnemonic for chest pain

A

MONA

Morphine, oxygen, nitroglycerin, aspirin

47
Q

what you should probably also do while pacing

A

start dopamine or epi drip

48
Q

where to keep O2 sat

A

between 94 and 100 (evidence that over 100 is bad)

49
Q

when to transfer with no ROSC

A

25 minutes