ACLS Flashcards

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1
Q

Stable Narrow complex tachycardia

A

Vagal

Adenosine 1st 6mg 2nd 12mg rapid flush

Synchronized cardioversion
(Consider Sedation)
SVT-50-100J
A-Fib-120J
A-Flutter-120J
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2
Q

Unstable Narrow Complex Tachycardia

A
Synchronized cardioversion
(Consider Sedation)
SVT-50-100J
A-Fib-120J
A-Flutter-120J
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3
Q

Stable Wide Complex Tachycardia

A

Consider Adenosine for aberrancies(6mg, 12mg rapid flush)

Amiodarone 150mg over 10 mins

Synchronized cardioversion
100J
Consider Sedation

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4
Q

Unstable Wide Complex Tachycardia

A
Synchronized cardioversion
V-tac 100J
Torsades-DEFIB
- 1-2mg Mag Sulfate infusion
Consider Sedation
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5
Q

Stable Bradycardia(1st degree block, Wenkebach)

A

Atropine 0.5mg repeat 3-5 mins max 3mg

Pacing

  • 60-100bpm
  • titrate by 10 until capture add another 10
  • Check mechanical and electrical capture
  • Consider Sedation
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6
Q

Unstable Bradycardia(Mobitz, complete heart block)

A

Pacing

  • 60-100bpm
  • titrate by 10 until capture add another 10
  • Check mechanical and electrical capture
  • Consider Sedation
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7
Q

ACS

A

Immediate 12 Lead and begin transport

324 ASA

0.4mg Nitro must ask about phosphodiesterase drugs

Pain meds

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8
Q

PEA/Asystole

A

CPR

1mg Epi every 4 minutes

Pulse checks every 2 minutes

Upgrade Airway

H’s & T’s

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9
Q

V-tach/V-fib

A

SHOCK

CPR
Pulse checks every 2 minutes

Epi every 4 minutes

Amiodarone 300mg then wait 4 mins 150 mg

Upgrade airway

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10
Q

H’s and T’s

A
Hypovolemia
Hypoxia
Hydrogen ion excess (acidosis)
Hypoglycemia
Hypokalemia
Hyperkalemia
Hypothermia
Tension pneumothorax
Tamponade – Cardiac
Toxins
Thrombosis (pulmonary embolus)
Thrombosis (myocardial infarction)
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11
Q

Hypovolemia

A

NS

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12
Q

Hypoxia

A

O2

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13
Q

Hydrogen ion excess/Acidosis

A

Hyperventilation consider Sodium Bicarb

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14
Q

Hypoglycemia

A

D-50

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15
Q

Hypokalemia

A

IV Magnesium infusion

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16
Q

Hyperkalemia

A

Consider calcium chloride, sodium bicarbonate

17
Q

Hypothermia

A

Give them a blankey

18
Q

Tension pneumothorax

A

Thoracostomy or needle decompression

19
Q

Tamponade – Cardiac

A

Pericardiocentesis

NOTHING PREHOSPITAL

20
Q

Toxins

A

Variable

21
Q

Thrombosis (pulmonary embolus)

A

Surgical embolectomy or administration of fibrinolytics

NOTHING PREHOSPITAL

22
Q

Thrombosis (myocardial infarction)

A

Follow ACS protocol

ASA

NITRO

Transport