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Adv. Phys & Health Assessment > ACLS/BLS/PALS > Flashcards

ACLS/BLS/PALS Flashcards

1
Q

Adult cardiac arrest epinephrine dose

A

1mg q3-5min

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2
Q

Adult cardiac arrest amiodarone dose

A

1st dose: 300mg bolus
2nd dose: 150mg bolus

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3
Q

Adult cardiac arrest Lidocaine dose

A

1st Dose: 1-1.5mg/kg
2nd Dose: 0.5-0.75mg/kg

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4
Q

How deep should adult chest compressions be?

A

at least 2in (5cm)

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5
Q

Rate of adult chest compressions

A

100-120/min

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6
Q

If no advanced airway, what is the adult ratio of compressions to breaths

A

30:2

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7
Q

ventilation rate during adult cardiac arrest w/ advanced airway

A

1 breath q 6seconds
(10breaths/min)

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8
Q

What are signs of ROSC in adult

A

Return of pulse and pressure

Abrupt sustained PETCO2 (typically >=40mmHg)

Spontaneous arterial pressure waves on arterial line

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9
Q

What are the H’s and T’s?

A

Hypoxemia
Hypovolemia
Hydrogen ion (acidosis)
Hyper/hypokalemia
Hypothermia

Tension Pneumo
Tamponade
Toxins
Thrombosis, pulmonary
Thrombosis, coronary

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10
Q

Adult defibrillation energy

A

Biphasic = 120-200J

Monophasic= 360J

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11
Q

In unstable adult bradycardia what should 1st intervention be?

A

transcutaneous pacing

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12
Q

What should the first medication be for unstable adult bradycardia?

A

Atropine: 1st dose 1mg, repeat every 3-5min until max of 3mg

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13
Q

What meds other than atropine can be used for unstable adult bradycardia

A

Epinephrine gtt: 2-10mcg/min
Dopamine gtt: 5-20mcg/kg/min (cornelius says 10-20mcg/kg/min)

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14
Q

What are common causes of adult unstable bradycardia

A

Myocardial ischemia/infarction
Drugs/toxicologics (B-blockers, ca-chnl blockers, digoxin)
Hypoxia
Electrolyte abnormality (hyperkalemia)

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15
Q

Treatment for unstable adult tachycardia (with pulse) is

A

Sync. cardioversion (1-2J/kg)

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16
Q

What is the 1st medication treatment for adult tachycardia (w/ pulse)

A

adenosine: if regular, monomorphic
1st dose=6mg
2nd dose=12mg

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17
Q

What are alternative medications for treatment of adult tachycardia (w/ pulse)

A

Procainamide:
20-50mg/min
STOP when arrythmia subsides, max 17mg/kg given, or prolong QT >50%

Amiodarone:
1st dose: 150mg over 10min. Repeat if VT occurs
Follow by infusion 1mg/min for 6hours

Sotalol:
100mg (1.5 mg/kg) over 5minutes. Avoid if prolong QT

18
Q

What is a non-pharmacologic methods to treat stable adult tachycardia

A

Vagal maneuvers

19
Q

What are the pharmacological treatments for stable adult tachycardia

A

Adenosine

B-blocker

Ca-chnl blocker

20
Q

How deep should compressions be for pediatric CPR

A

> = 1/3 chest diameter

21
Q

What rate should CPR be for pediatric patient?

A

100-120/min

22
Q

If no advanced airway, what should the ratio of compressions to breaths be in pediatric resuscitation?

A

15:2

23
Q

With advanced airway, how frequent should ventilation be in pediatric resuscitation?

A

every 2-3 seconds

24
Q

Energy for defibrillation in pediatric arrest

A

1st= 2J/kg
2nd= 4J/kg
3+= >=4J/kg up to 10J/kg

25
Q

IV Epi dose for pediatric arrest

A

0.01mg/kg (max 1mg) every 3-5min

(0.1mg/kg of 0.1mg/mL dose)

26
Q

Amiodarone dose for pediatric arrest

A

5mg/kg bolus

May repeat up to 3 total doses for refractory VF/pulseless VT

27
Q

ET Epi dose for pediatric arrest

A

0.1mg/kg

28
Q

IV lidocaine dose for pediatric arrest

A

1mg/kg

29
Q

Pediatric atropine dose

A

0.02mg/kg (min 0.1mg; max 0.5mg)

30
Q

Which medications can be given via ET tube?

A

LEAN

Lidocaine
Epi
Atropine
Narcan

31
Q

What HR should you begin chest compressions on for unstable pediatric patient?

A

<60bpm

32
Q

What are medications for unstable pediatric bradycardia

A

Epi 0.01mg/kg IV

Atropine (kids prone to vagal response): 0.02mg/kg (min 0.1mg; max 0.5mg)

33
Q

What are probable causes of pediatric bradycardia?

A

Hypothermia
Hypoxia
Medications/Toxins

34
Q

What energy should be used for synchronized cardioversion of pediatric patient?

A

1st= 0.5-1J/kg
if ineffective use 2J/kg

sedate if needed, but don’t delay cardioversion

35
Q

Narrow QRS duration tachycardia is usually _______

A

Supraventricular

infant rate >220/min
Child >180/min

36
Q

Wide QRS tachycardia is typically _______

A

VT

37
Q

Treatment for pediatric SVT is

A

adenosine:
1st dose: 0.1mg/kg rapid bolus (max 6mg)
2nd dose: 0.2mg/kg (max 12mg)

38
Q

Common causes for pediatric tachycardia are

A

Fever and dehydration

39
Q

Priorities for neonatal resuscitation include

A

Warm and dry
HR <100 = Ventilate
Hr <60 = intubate, chest compressions

40
Q

Targeted preductal SpO2 after birth is:

A

1min: 60-65%
2min: 65-70%
3min: 70-75%
4min: 75-80%
5min: 80-85%
10min: 85-95%

41
Q

Common causes of maternal arrest are

A

Trauma and Thrombosis

A- anesthesia complications
B- bleeding
C- cardiovascular
D- drugs
E- embolic
F- fever
G- general nonobstetric (H’s and T’s)
H- hypertension

Adv. Phys & Health Assessment (8 decks)

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