Acute Care Flashcards

1
Q

Which are the shockable rhythms?

A

VT and VF

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2
Q

Which are the non-shockable rhythms?

A

PEA and asystole

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3
Q

What is the regimen for ALS?

A

2 min cycles of CPR, 30:2

Adrenaline every 2 cycles (10 mL 1:10, 000)

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4
Q

Reversible causes of cardiac arrest

A

TREAT THESE AS PART OF ABCDE

Hypoxia
Hypovolaemia
Hypothermia
Hyperkalaemia (or hypokalaemia, or other metabolic probs)
Tension pneumothorax
Tamponade
Toxins
Thromboembolism (coronary or pulmonary - thrombolysis may take 90 mins)
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5
Q

Resus guidelines:
TACHYCARDIA
unstable: shock, syncope, MI, HF

A

Synchronised DC shocks (up to 3 attempts)

Expert help:
300 mg IV amiodarone over 10-20 mins
repeat shock
Then give 900 mg amiodarone over 24h

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6
Q

Resus guidelines:
TACHYCARDIA
stable: NO shock, syncope, MI, HF

BROAD QRS

A

Irreg: AF? - expert help

Reg: VT (or uncertain rhythm):
300 mg IV amiodarone over 10-20 mins
Then give 900 mg amiodarone over 24h

IF SVT WITH BBB TREAT AS FOR NARROW-COMPLEX

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7
Q

Resus guidelines:
TACHYCARDIA
stable: NO shock, syncope, MI, HF

NARROW QRS

A

Irreg: AF - beta-blockers or diltiazem

Reg: vagal manoevres, adenosine 6 mg rapid IV bolus
give 12 and further 12 if no response
If works: prob re-entry paroxysmal SVT
if doesnt work: prob atrial flutter

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8
Q

Resus guidelines:
BRADYCARDIA
unstable: shock, syncope, MI, HF

A

Atropine 500 mcg IV

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