ALS 2.0 Flashcards

1
Q

is ST depression in leads V1-3 a STEMI?

A

YES
posterior
RCA

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2
Q

most common rhythm in hypovolaemic arrest?

A

PEA

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3
Q

does ICD need deactivated if DNACPR discussion?

A

no

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4
Q

are skin reactions in anaphylaxis common?

A

YES

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5
Q

what fluids in anaphylaxis?

A

crystalloids

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6
Q

ECG changes in hyperkalaemia?

A

brady
TTTwaves
ST depression

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7
Q

what % of patients comatose post arrest have seziures?

A

1/3rd

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8
Q

can precordial thump be used in VF?

A

yes

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9
Q

what shockable rhythm is high risk after stemi?

A

VF

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10
Q

what voltage is electrical capture?

A

50-100

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11
Q

what does adrenaline do?

A

both alpha and beta block
causes vasodilation

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12
Q

adrenaline affects in arrest?

A

nil long term
improves cerebral and coronary pressure

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13
Q

rate of adrenaline infusion?

A

2-10

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14
Q

sodium bicarbonate effect on cell?

A

intracellular acidosis
inhibits oxygen release to tissues

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15
Q

what is bad PaCO2 level in asthma?

A

4.6-6

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16
Q

what does magnesium do in asthma?

A

bronchodilate

17
Q

if you think its fine VF - what should you do?

A

SHOCK

18
Q

what should BM be kept post arrest?

A

4-10

19
Q

where should pads be if person has an ICD?

A

10-15cm away or AP

20
Q

what is ventricular standstill? Tx?

A

P waves but no QRS
external pacing

21
Q

when can outcomes after ROSC be reliable assessed?

A

3 days

22
Q

what is cardioversion used for?

A

TACHYCARDIAS

23
Q

what is transcutaneous/transvenous pacing used for?

A

BRADYCARDIA

24
Q

what type 2 heart block has greater risk of asystole?

A

mobits 2

25
Q

contraindications for fibrinolytic therapy?

A

haemorrhagic stroke
ischaemic stroke past 6 months
surgery/trauma in 3 weeks
active internal bleeding
GI bleed in past month
known bleeding disorder