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 tachyarrhythmia.
- Procainamide, Amiodarone, Sotalol
What is the adenosine dosing for an adult tachy-arrhythmia patient?
- 1st dose: 6 mg
- 2nd dose: 12 mg
What is the tachyarrhythmia dosing for Procainamide?
What three results would cause one to stop the infusion?
- 20 - 50 mg/min
1. Arrhythmia is fixed
2. QRS durations increases by 50%
3. Max dose of 17 mg/kg is reached
What is the maintenance dose of Procainamide?
- 1-4 mg/min
What is the tachyarrhythmia dosing of amiodarone?
- Bolus: 150mg
- Maintenance: 1 mg/min for 6 hours
What is the tachyarrhythmia dosing of sotalol?
- 100 mg (1.5 mg/kg) over 5 minutes
For a pregnant woman during cardiac arrest, how would one relieve aortocaval compression?
- Lateral uterine displacement
What are the possible etiologies of maternal arrest? ( A through H)
- Anesthetic complications
- Bleeding
- Cardiovascular
- Drugs
- Embolism
- Fever
- General H & T’s
- Hypertension
What epinephrine dosing would be utilized on a neonate?
- 0.01 mg/kg
What is an Apgar score? What range of scores exist?
- Newborn health evaluation score
- 0 (bad) through 10 (good)
What is the pediatric arrest/bradycardia dosing of epinephrine?
What if no IV is present?
- 0.01mg/kg IV
- Endotracheal dose: 0.1mg/kg
What is the pediatric arrest dosing of amiodarone?
- 5 mg/kg bolus up to 3 doses
What is the pediatric arrest dosing of lidocaine?
- 1mg/kg loading dose
What is the initial defibrillating dose for a pediatric patient?
What about subsequent defibrillations?
- 2 J/kg
- 4 - 10 J/kg
When would one start compressions on a pediatric patient? (just based on HR)
- When HR falls below 60
What are the two most common causes of pediatric bradycardia?
- Hypoxia
- Arrhythmia
What is the dosing of atropine for a bradycardic pediatric patient?
What are the minimum/maximum doses?
- 0.02 mg/kg
- 0.1mg - 0.5mg
What is the pediatric tachycardia synchronized defibrillation dose?
- 0.5 - 1 J/kg
- 2 J/kg max
What is the pediatric tachycardia adenosine dose?
- 1st dose: 0.1 mg/kg (max 6mg)
- 2nd dose: 0.2 mg/kg (max 12mg)
