ACLS Flashcards
Hs
hypovolemia hypoxia hydrogen ion (acidosis) hypo/hyperkalemia hypothermia hypoglycemia
T’s
tension pneumothorax tamponade toxins thrombosis (pe) thrombosis (coronary)
stable vs unstable
stable: alert and oriented, vitals stable
unstable: cp, sob, syncope, diaphoresis, hypotension
options for treatment stable vs unstable
stable = meds unstable = electricity slow= pace fast= cardiovert
slow rate treatment
stable: atropine
unstable pace
if not effective: dopamine or epi
dopamine dose
2-20 mcg/kg/min
epi dose
2-10 mcg/ min
how to pace
set hr to 80 put limb leads on mechanical capture (femoral pulse) electrical capture ( spike before qrs) increase milliamps until you get capture
to fast treatment
stable= adenosine unstable = synchronized cardioversion
how to cardiovert
narrow reg: 50-100j
narrow irreg: 120-200 biphasic
wide regular: 100j
wide irregular: 360j defib
pea and asystole
cpr
airway
iv epi
consider h and t
vfib and vtac
cpr defib asap at 200 airway iv epi amiodorne 300 defib 360 epi
polymorphic vtac
give mag sulfate
pathologic vs physiologic q wave
bigger than .04 pathologic.
age undetermined = pathologic
widow maker mi
st elevation in anterior septal and lateral leads
proximal occlusion of left coronary artery
LVH
add up v1 or v2
v5 or v6
if more than 35 mm = lvh
sinus brady
junctional escape
second degree type 1
atropine
tcp
vasopressor infucsion
2nd degree type 2
third degree
idioventricular
tcp
vasopressor
stable svt
vagal
adenosine 6 mg
adenosine 12 mg
unstable svt
cardiovert
50-100 200 300 360 j
stable vt
amiodarone 150 over 10 min
unstable vt
synchronized cardioversion 50-100 200 300 360
