Advanced Life Support Flashcards
What is the transcutaneous pacing amp you need?
50 - 100 mA
What electrolyte disorder can affect the effectiveness of transcutaneous pacing?
Hyperkalaemia
Where should the 3 lead adhesive electrodes be placed during cardiac arrest?
Over bone
During drowning does cardiac or respiratory arrest occur first?
Respiratory Arrest
What prevents the immediate entry of water into the victims lungs?
Laryngospasm
What are the 3 indications for 10mls of 10% Calcium chloride during cardiac arrest PEA?
Hyperkalaemia + Hypocalcaemia + Overdose of calcium channel blockers
What is Pulseless electrical activity?
is characterised by evidence of ventricular activity on the ECG that would normally be associated with a pulse.
T/F if someone is ‘DNA-CPR’ you always switch of there ICD?
False - some people may not be for cpr but still want the treatment the ICD can offer
In bradycardia what is the rate of adrenaline infusion?
2-10 mcg/min
T/F defibrillation in asthma may require higher energies due to thoracic impedance?
True
T/F seizures occur in about one third of patients who remain comatose after ROSC?
True
What are the shockable rhythms?
Ventricular Fibrillation + pulseless Ventricular Tachycardia
IS adenosine contrainidicated in asthma?
Yes
For broad complex tachycardia what energy do you start at for your first synchronised shock?
120 - 150j
What shock do you give in AF?
Maximum defibrillator energy
Dose of atropine?
500 mcg upto max of 3 grams
Isoprenaline starting dose?
5mcg/min
Adrenaline starting dose?
2-10 mcg/min
BB overdose what do you give?
Glucagon
Anaphylaxis dose Adrenaline (1:1000)? Adult and child over 12? 6 years to 12? 6 months to 6 years? Less than 6 months?
> 12 years = 500mcg IM (0.5ml)
6 years to 12 years = 300 mcg (0.3ml)
6 months to 6 years = 150 mcg (0.15mls)
Less than 6 months = 100mcg (0.1mls)
Tx for Hyperkalaemia emergency?
1) 10mls 10% Calcium chloride
2) 10 units short acting insulin in 25G glucose IV
3) 50mla of 8.4% sodium bicarbonate (If severely acidotic)
CPR in pregancy? right or left lateral tilt
Left lateral tilt
What week gestation should urgent perimortem delviery be considered in obstetric cardiac arrest?
Over 20 weeks
1) 400 mcg
2) 800 mcg
3) 800 mcg
Initial doses of Naloxone for opioid overdose?
Asthma Treatment?
1) 5mg oxygen delivered salbutamol Nebs every 30 mins
2) Ipratropium bromide 500mcg every 4 hourly
3) Prednisolone 50mg OD or 100mg Hydrocortisone QDS
4) 2g IV magnesium sulfate over 20 minutes
5)
In refractory Anaphylaxis (no response to two shots of 0.5mg IM adrenaline)what are the next steps?
Adrenaline infusion (1ml/kg/hour) +/- Nebulised adrenaline 5ml of 1mg/ml)
What is commotio cordis?
Actual or near cardiac arrest caused by blunt impact to the chest wall over the heart
In hypothermia, what core temperature do you have to achieve before giving adrenaline?
> 30 degrees
Between 30-35 degrees, als in hypothermia says the intervals of adrenaline should be?
Double normal intervals (between 6-10 minutes)
How many cm does defib pads need to be from ICD?
> 8cm