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Medicine > ALS > Flashcards

ALS Flashcards

1
Q

Overall cardiac arrest survival

A

10%

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2
Q

Capture voltage - transcutaneous pacing

A

50-100mA

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3
Q

Unstable tachy Tx

A

3x synchronised shocks
Amiodarone 300mg (10mins)
Further shocks

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4
Q

Severe hypokalaemia

A

<2.5

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5
Q

Replace K rate

A

Max 10-20mmol/h

ie 40mmol in 1L over 4/2h

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6
Q

Every 1 minute delay in defib reduces outcome by

A

10%

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7
Q

Incidence VF post MI

A

5%

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8
Q

If low K found check

A

Mg2+

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9
Q

Early defib =

A

W/I 5 mins resus call

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10
Q

Adrenaline every

A

3-5 mins

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11
Q

High calcium

A

> 2.6

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12
Q

Non technical skills

A

Situational awareness
Decision making
Team working/ leadership
Task management

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13
Q

Non technical skills

A

Situational awareness
Decision making
Team working/ leadership
Task management

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14
Q

Decisions during arrest

A

Diagnose rhythm
Choose shock energy
Reversible causes
How long to continue resus

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15
Q

Severe high calcium

A

> 3

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16
Q

Low calcium

A

<2.1

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17
Q

Tx low calcium

A

Calcium chloride 10ml 10%

Or calcium gluconate 30ml 10%

18
Q

Tx high calcium

A

IV fluids

Pamidronate

19
Q

High magnesium

A

> 1.1

20
Q

Tx high magnesium

A

Check potassium

? Calcium gluconate

21
Q

Low magnesium

A

<0.6

22
Q

Tx low magnesium

A

1.2g-2g
4ml 8mmol Mg sulphate
20mmol
50mmol

23
Q

Salicylate poisoning

A

Urine alkanisation

- bicarbonate

24
Q

Tx LA toxicity

A

Intralipid

25
Q

Tx digoxin toxicity

A

Digibind

26
Q

Tx TCA OD

A

Sodium bicarbonate

27
Q

Tx cocaine OD

A

Benzodiazepines

28
Q

Life threatening asthma

A 
<33% predicted 
Sats <92%
PaO2 <8
Normal pCO2
Silent chest
29
Q

Acute severe asthma

A

33-50% PEFR
RR >25
HR >110

30
Q

Mast cell tryptase time to take

A

1-2h Post Sx and Baseline (after better)

31
Q

High risk Bradycardias

A

Recent asystole
2nd degree mobitz type 2
Complete HB
Ventricular pause over 3s

32
Q

Calcium resonium dose

A

15-30g

33
Q

Irregular broad complex tachy

Likely rhythms

A

AF with BBB

TdP

34
Q

Tx TdP

A

Stop drug prolonging QT

Treat electrolyte imbalance: K, Mg, Ca

35
Q

Tx irregular broad complex tachycardia

A

Likely AF and BBB
?TdP
Consider amiodarone

36
Q

Tx regular broad complex tachy

A

Likely VT

Amiodarone

37
Q

Tx regular narrow complex tachy

A

Likely SVT
Modified valsalva
Adenosine 6,12,12mg

38
Q

Tx irregular narrow complex tachy

A 
Likely AF
B blocker or CCB
Dig
Amiodarone
LMWH
?>48h
39
Q

Tx long QT syndrome

A

B Blocker

40
Q

Absolute CI to fibrinolytic therapy

A 
Active bleed 
Haemorrhagic stroke
Ischaemic stroke w/i 6m
CNS damage/ neoplasm
Surgery w/i 3w
GI bleed w/i 4w
Head injury
Aortic dissection

Medicine (20 decks)

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