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24 Physical & Health Assessment > Algorithms (Exam I) > Flashcards

Algorithms (Exam I) Flashcards

1
Q

What are the two most important steps one can take when utilizing a defibrillator?

A

Attaching pads & turning it on

this is not a serious card

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2
Q

What are the defibrillation doses for a monophasic & and biphasic defibrillators?

A

Monophasic: 360 joules
Biphasic: 120 - 200 joules

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3
Q

What dose & frequency of epinephrine is used in an adult cardiac arrest?

A
  • 1mg every 3-5 min
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4
Q

What dose & frequency of amiodarone is used in an adult cardiac arrest?

A
  • Initial dose: 300mg
  • Subsequent doses: 150mg
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5
Q

What dose & frequency of lidocaine is used in an adult cardiac arrest?

A
  • 1st dose: 1-1.5 mg/kg
  • 2nd dose: 0.5-0.75 mg/kg
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6
Q

Name all of the reversible causes of arrest that start with H. (H’s & T’s)

A
  • Hypovolemia
  • Hypoxia
  • Hydrogen ion (acidosis)
  • Hypokalemia
  • Hyperkalemia
  • Hypothermia
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7
Q

Name all of the reversible causes of arrest that start with T (H’s & T’s)

A
  • Tension pneumo
  • Tamponade
  • Toxins
  • Thrombosis (coronary or pulmonary)
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8
Q

What temperature range is necessary for TTM (targeted temperature management) on post-arrest patients?

A
  • 32 - 36°C
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9
Q

What is atropine dosing on a bradycardic patient?

A
  • 1st dose: 1mg bolus
  • Subsequent doses every 3-5min
  • 3mg max
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10
Q

What is dopamine dosing for a bradycardic patient?

A
  • 5 - 20 mcg/kg/min
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11
Q

What is epinephrine dosing for a bradycardic patient?

A
  • 2 - 10 mcg/min
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12
Q

If atropine is unsuccessful in the treatment of adult bradycardia, what are the next treatment options?

A
  • Transcutaneous pacing
  • Dopamine infusion
  • Epinephrine infusion
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13
Q

How should unstable and narrow-QRS adult tachycardia be treated?

A
  • Synchronized cardioversion
  • Adenosine (possibly)
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14
Q

When would anti-arrhythmic infusions be given for an adult tachycardia patient?
What anti-arrhythmics are a part of this algorithm?

A
  • If the patient had a stable, wide-QRS tachyarrhythmia.
  • Procainamide, Amiodarone, Sotalol
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15
Q

What is the adenosine dosing for an adult tachy-arrhythmia patient?

A
  • 1st dose: 6 mg
  • 2nd dose: 12 mg
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16
Q

What is the tachyarrhythmia dosing for Procainamide?
What three results would cause one to stop the infusion?

A
  • 20 - 50 mg/min
    1. Arrhythmia is fixed
    2. QRS durations increases by 50%
    3. Max dose of 17 mg/kg is reached
17
Q

What is the maintenance dose of Procainamide?

A
  • 1-4 mg/min
18
Q

What is the tachyarrhythmia dosing of amiodarone?

A
  • Bolus: 150mg
  • Maintenance: 1 mg/min for 6 hours
19
Q

What is the tachyarrhythmia dosing of sotalol?

A
  • 100 mg (1.5 mg/kg) over 5 minutes
20
Q

For a pregnant woman during cardiac arrest, how would one relieve aortocaval compression?

A
  • Lateral uterine displacement
21
Q

What are the possible etiologies of maternal arrest? ( A through H)

A
  • Anesthetic complications
  • Bleeding
  • Cardiovascular
  • Drugs
  • Embolism
  • Fever
  • General H & T’s
  • Hypertension
22
Q

What epinephrine dosing would be utilized on a neonate?

A
  • 0.01 mg/kg
23
Q

What is an Apgar score? What range of scores exist?

A
  • Newborn health evaluation score
  • 0 (bad) through 10 (good)
24
Q

What is the pediatric arrest/bradycardia dosing of epinephrine?
What if no IV is present?

A
  • 0.01mg/kg IV
  • Endotracheal dose: 0.1mg/kg
25
Q

What is the pediatric arrest dosing of amiodarone?

A
  • 5 mg/kg bolus up to 3 doses
26
Q

What is the pediatric arrest dosing of lidocaine?

A
  • 1mg/kg loading dose
27
Q

What is the initial defibrillating dose for a pediatric patient?
What about subsequent defibrillations?

A
  • 2 J/kg
  • 4 - 10 J/kg
28
Q

When would one start compressions on a pediatric patient? (just based on HR)

A
  • When HR falls below 60
29
Q

What are the two most common causes of pediatric bradycardia?

A
  1. Hypoxia
  2. Arrhythmia
30
Q

What is the dosing of atropine for a bradycardic pediatric patient?
What are the minimum/maximum doses?

A
  • 0.02 mg/kg
  • 0.1mg - 0.5mg
31
Q

What is the pediatric tachycardia synchronized defibrillation dose?

A
  • 0.5 - 1 J/kg
  • 2 J/kg max
32
Q

What is the pediatric tachycardia adenosine dose?

A
  • 1st dose: 0.1 mg/kg (max 6mg)
  • 2nd dose: 0.2 mg/kg (max 12mg)

24 Physical & Health Assessment (33 decks)

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