Algorithms (Exam I) Flashcards
What are the two most important steps one can take when utilizing a defibrillator?
Attaching pads & turning it on
this is not a serious card
What are the defibrillation doses for a monophasic & and biphasic defibrillators?
Monophasic: 360 joules
Biphasic: 120 - 200 joules
What dose & frequency of epinephrine is used in an adult cardiac arrest?
- 1mg every 3-5 min
What dose & frequency of amiodarone is used in an adult cardiac arrest?
- Initial dose: 300mg
- Subsequent doses: 150mg
What dose & frequency of lidocaine is used in an adult cardiac arrest?
- 1st dose: 1-1.5 mg/kg
- 2nd dose: 0.5-0.75 mg/kg
Name all of the reversible causes of arrest that start with H. (H’s & T’s)
- Hypovolemia
- Hypoxia
- Hydrogen ion (acidosis)
- Hypokalemia
- Hyperkalemia
- Hypothermia
Name all of the reversible causes of arrest that start with T (H’s & T’s)
- Tension pneumo
- Tamponade
- Toxins
- Thrombosis (coronary or pulmonary)
What temperature range is necessary for TTM (targeted temperature management) on post-arrest patients?
- 32 - 36°C
What is atropine dosing on a bradycardic patient?
- 1st dose: 1mg bolus
- Subsequent doses every 3-5min
- 3mg max
What is dopamine dosing for a bradycardic patient?
- 5 - 20 mcg/kg/min
What is epinephrine dosing for a bradycardic patient?
- 2 - 10 mcg/min
If atropine is unsuccessful in the treatment of adult bradycardia, what are the next treatment options?
- Transcutaneous pacing
- Dopamine infusion
- Epinephrine infusion
How should unstable and narrow-QRS adult tachycardia be treated?
- Synchronized cardioversion
- Adenosine (possibly)
When would anti-arrhythmic infusions be given for an adult tachycardia patient?
What anti-arrhythmics are a part of this algorithm?
- If the patient had a stable, wide-QRS tachyarrhthmia.
- Procainamide, Amiodarone, Sotalol
What is the adenosine dosing for an adult tachy-arrhythmia patient?
- 1st dose: 6 mg
- 2nd dose: 12 mg