Adult Cardiaovascular

Question 1

Adult Atropine Indications

Answer 1

• Pulse <60/min
• SBP <90

Question 2

Adult
Transcutaneous Pacing (TCP) Steps

Answer 2

• Set initial rate at 60/minute
• Set initial current at 10 mA and increase by 10 mA increments while assessing for mechanical capture
• Once mechanical capture is achieved, adjust rate based on clinical response - most pts will improve with a rate of 60 - 70/min if the symptoms are primarily due to bradycardia
• Monitor/re-evaluate frequently, increase current as necessary to maintain mechanical capture
• Consider sedation/pain control as needed

Question 3

What do unstable pts with persistent tachycardia require?

Answer 3

Immediate cardioversion

Question 4

Synchronized Cardioversion Doses

Answer 4

Initial Doses
- Narrow regular: 50 - 100 J
- Narrow irregular: 120 - 200 J
- Wide regular: 100 J

Question 5

True or False: Do not administer fluid if signs of heart failure

Answer 5

True

Question 6

When should any 12-lead meeting STEMI criteria be transmitted?

Answer 6

Within 10 mins of first STEMI positive 12-lead