ACLS Flashcards
1
Q
Hs
A
hypovolemia hypoxia hydrogen ion (acidosis) hypo/hyperkalemia hypothermia hypoglycemia
2
Q
T’s
A
tension pneumothorax tamponade toxins thrombosis (pe) thrombosis (coronary)
3
Q
stable vs unstable
A
stable: alert and oriented, vitals stable
unstable: cp, sob, syncope, diaphoresis, hypotension
4
Q
options for treatment stable vs unstable
A
stable = meds unstable = electricity slow= pace fast= cardiovert
5
Q
slow rate treatment
A
stable: atropine
unstable pace
if not effective: dopamine or epi
6
Q
dopamine dose
A
2-20 mcg/kg/min
7
Q
epi dose
A
2-10 mcg/ min
8
Q
how to pace
A
set hr to 80 put limb leads on mechanical capture (femoral pulse) electrical capture ( spike before qrs) increase milliamps until you get capture
9
Q
to fast treatment
A
stable= adenosine unstable = synchronized cardioversion
10
Q
how to cardiovert
A
narrow reg: 50-100j
narrow irreg: 120-200 biphasic
wide regular: 100j
wide irregular: 360j defib
11
Q
pea and asystole
A
cpr
airway
iv epi
consider h and t
12
Q
vfib and vtac
A
cpr defib asap at 200 airway iv epi amiodorne 300 defib 360 epi
13
Q
polymorphic vtac
A
give mag sulfate
14
Q
pathologic vs physiologic q wave
A
bigger than .04 pathologic.
age undetermined = pathologic
15
Q
widow maker mi
A
st elevation in anterior septal and lateral leads
proximal occlusion of left coronary artery
