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ACLS Flashcards

1
Q

Pre-Arrest intervention

A

initiation of Rapid Reponse Team

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2
Q

“No Flow” intervention

A

Prompt initiation of BLS

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3
Q

“Low Flow” intervention

A

high quality chest compressions for myocardial and cerebral perfusion

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4
Q

“Postresuscitation” intervention

A

Temperature management, blood pressure management (no hypotension); preserve neurologic function

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5
Q

A “General Impression” is…

A

ABCs–Appearance, (Work of) Breathing, Circulation

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6
Q

Primary Survey is

A

rapid hands on assessment. “See it and treat it”

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7
Q

AVPU for assessing responsiveness

A

Alert
Responds to Verbal stimuli
Responds to Painful stimuli
Unresponsive

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8
Q

For responsive patients, primary survey starts with..

A

ABC

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9
Q

For unresponsive patients, primary survey starts with…

A

CAB

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10
Q

Seconday Survey

A 
Airway (artificial)
Breathing (intubating)
Circulation (IV/IO)
Differential Diagnosis (PATCH4MD)
Evaluate interventions
Facilitate family
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11
Q

Intubation 2-step verification

A
  1. Color change in colorimetric CO2 detector

2. Bilateral breath sounds

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12
Q

Normal End-Tidal CO2 range

A

35-40

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13
Q

Low levels of CO2 indicates

A

hyperventilation or hypotension

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14
Q

High levels of CO2 indicates

A

hypoventilation

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15
Q

Nasal Cannulas provide

A

1-5 L/min

23-32% oxygen

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16
Q

High Flow Nasal Cannulas provide

A

up to 10 L/min

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17
Q

Partial Rebreather Masks provide

A

35-60% oxygen with flow rates of 6-10 L/min

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18
Q

Nonrebreather Masks provide

A

60-80% oxygen with flow rates of at least 10 L/min

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19
Q

Oral Airway measurement

A

measure from mouth to angle of the jaw

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20
Q

Nasal Airway measurement

A

from septum to tip of ear…Stop if it does not slid gently

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21
Q

Leads II, III, AVF show

A

inferior aspects of the heart

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22
Q

Leads I, AVL, V5, V6 show

A

lateral aspects of the heart

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23
Q

Leads V1 and V2 show

A

septal aspects of the heart

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24
Q

Leads V3 and V4 show

A

anterior aspects of the heart

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25
PATCH-4-MD----"P"
Pulmonary embolism--anticoagulants?Surgery?
26
PATCH-4-MD----"A"
Acidosis--ventilation, correct acid-base disturbances (sodium bicarb)
27
PATCH-4-MD----"T"
Tension pneumothorax--needle decompression
28
PATCH-4-MD----"C"
Cardiac Tamponade--pericardiocentesis
29
PATCH-4-MD----"H"s
Hypovolemia--replace intravascular volume Hypoxia--ensure adequate oxygenation and ventilation Heat/cold--cooling/warming methods Hypo/Hyperkalemia--monitor serum glucose levels and correct disturbances
30
PATCH-4-MD----"M"
Myocardial Infarction--reperfusion therapy
31
PATCH-4-MD----"D"
Drug overdose/accidents--antidote/specific therapy
32
Pacemaker placement can cause
cardiac tamponade
33
Epinephrine is the
1st line dead person drug
34
Epinephrine is given IV push in amounts of
1mg every 3-5 minutes
35
Amiodarone is used in
pVT/VF
36
Amiodarone IVP amount
300mg, followed by dose of 150mg
37
Most common cause of PEA
hypovolemia
38
Joules amount used in a code at Wilson
200/300/360j
39
During cardiac arrest, follow each drug with a
20mL fluid flush
40
Post-Cardiac Arrest temperature management between
32-36 degrees Celsius
41
Key questions for tachycardia
1. Asymptomatic? Symptomatic but stable? Symptomatic and unstable? Pulseless? 2. QRS wide or narrow? 3. Ventricular rhythm regular or irregular?
42
Monomorphic wide QRS drug given 1st
adenosine..administered to try to identify the origin of the tachycardia. No effect if the rhythm is VT
43
Amiodarone
150mg IV bolus over 10 minutes | repeat every 10 minutes as needed
44
Most common side effects of amiodarone
hypotension and bradycardia
45
Amiodarone may
prolong the QT interval
46
Procainamide dosing
20mg/min IV infusion or 100mg every 5 minutes
47
TdP drug is
magnesium
48
TdP is caused by
QT interval becoming too long
49
SVT and AFlutter joules for cardioversion
50 joules
50
Afib joules for cardioversion
120 joules
51
"Other" rhythms joules for cardioversion
100 joules
52
Bradycardia first drug
Atropine
53
Atropine dosing
0.5mg IVP every 3-5 minutes for a total of 3mg
54
Atropine must be given with...
confidence or it will cause rebound bradycardia
55
Epinephrine infusions need to run at
2-10mcg/min...run through central line (due to risk of tissue sloughing)
56
Dopamine infusion needs to run at
2-10 mcg/kg/min
57
Electrical Capture is
Spike QRS
58
Mechanical Capture is
Pulse R side of the body
59
Pacing pads are good for
24 hours on skin, 8 hours for for pacing
60
Unstable Angina and NSTEMI is differentiated by
troponin level
61
ECG "STEMI" findings
elevated in 2 contiguous leads and elevated biomarkers
62
ECG "NSTEMI" findings
ST elevation not present but biomarkers elevated
63
ECG "UA" findings
ST elevation not present, cardiac biomarkers not elevated
64
Inferior wall infarctions need a
Right Sided ECG
65
Nitroglycerin used to
deal with cause of chest pain
66
Give Nitro only after
12-lead ECG done, blood pressure taken
67
Do not give nitro if
BP is less than 90 or 30 less than baseline, phosphodiesterase inhibitors, suspected RVI
68
Morphine Sulfate dosage for NSTEMI
1-5mg IV repeat every 5-30 minutes
69
Morphine Sulfate dosage for STEMI
4-8mg IV every 5-15 minutes as needed
70
Morphine Sulfate causes patients to
feel relaxed with no pain
71
Aspirin dosage for chest pain
325 mg chewed
72
Stroke Chain of Survival (D)
``` Detection Dispatch Delivery Door Data Decision Drug Disposition ```
73
Most common type of stroke is
ischemic
74
IV tPA must be administered within
3 hours of Last Known Well
75
Stroke "FAST" test
Facial droop Arm drift Speech Time of onset
76
Non contrast CT must be done within how many minutes for a stroke?
25 minutes
77
Adenosine IVP dosage
6mg IV SLAM, followed by 12mg IVP and 12mg IVP
78
Cardizem dosage
.25mg/kg IV bolus over 2 minutes, .35mg/kg over 2 minutes after 15 minutes
79
Never given cardizem with
WIDE QRS tachycardias...may cause Vfib, can worsen hypotension

Wilson (1 decks)

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