ALS 2.0 Flashcards
is ST depression in leads V1-3 a STEMI?
YES
posterior
RCA
most common rhythm in hypovolaemic arrest?
PEA
does ICD need deactivated if DNACPR discussion?
no
are skin reactions in anaphylaxis common?
YES
what fluids in anaphylaxis?
crystalloids
ECG changes in hyperkalaemia?
brady
TTTwaves
ST depression
what % of patients comatose post arrest have seziures?
1/3rd
can precordial thump be used in VF?
yes
what shockable rhythm is high risk after stemi?
VF
what voltage is electrical capture?
50-100
what does adrenaline do?
both alpha and beta block
causes vasodilation
adrenaline affects in arrest?
nil long term
improves cerebral and coronary pressure
rate of adrenaline infusion?
2-10
sodium bicarbonate effect on cell?
intracellular acidosis
inhibits oxygen release to tissues
what is bad PaCO2 level in asthma?
4.6-6
what does magnesium do in asthma?
bronchodilate
if you think its fine VF - what should you do?
SHOCK
what should BM be kept post arrest?
4-10
where should pads be if person has an ICD?
10-15cm away or AP
what is ventricular standstill? Tx?
P waves but no QRS
external pacing
when can outcomes after ROSC be reliable assessed?
3 days
what is cardioversion used for?
TACHYCARDIAS
what is transcutaneous/transvenous pacing used for?
BRADYCARDIA
what type 2 heart block has greater risk of asystole?
mobits 2
contraindications for fibrinolytic therapy?
haemorrhagic stroke
ischaemic stroke past 6 months
surgery/trauma in 3 weeks
active internal bleeding
GI bleed in past month
known bleeding disorder