ACLS - ACS, CHF and review

Question 1

What do you do for an unstable pt. w/ tachycardia?

Answer 1

Synchronized Cardioversion!! (You may give a trial of adenosine if narrow, and regular.)

Question 2

What do you do for a stable pt. with narrow complex tachycardia?

Answer 2

1. vagal maneuvers
2. Adenosine
3. β-blockers or Ca++ channel blockers

Question 3

What do you do for a stable pt. w/ wide-complex tachycardia?

Answer 3

Amiodarone or Sotalol (You may consider adenosine if reg and monomorphic.)

Question 4

Cardiac Arrest: What are the 5 H’s?

Answer 4

Hypothermia
Hypoxia
Hypovolemia
Hypo-/HyperKalemia
H+ ions (acidosis)

Question 5

Cardiac arrest: What the the 5 T’s?

Answer 5

Tension pneumothorax
Thrombosis - Cardiac
Thrombosis - Pulmonary
Toxins
Tamponade

Question 6

Tachycardia (unstable): Voltage for Narrow, Regular?

Answer 6

50-100 J

Question 7

Tachycardia (unstable): voltage for Wide, Regular?

Answer 7

100 J

Question 8

Tachycardia (unstable): voltage for Narrow, Irregular?

Answer 8

200 J

Question 9

Tachycardia (unstable): voltage for Wide, Irregular?

Answer 9

Defibrillate!!