ALTS Flashcards

1
Q

What is the adults dose and concentration of adrenaline for cardiac arrest?

A

1mg of 1 in 10,000

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2
Q

What is the paediatric dose and concentration of adrenaline for cardiac arrest?

A

10mcg/kg or 1 in 10,000

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3
Q

What is the adult dose of amiodorone for cardiac arrest?

A

300mcg

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4
Q

What is the paediatric dose of amiodorone for cardiac arrest?

A

5mg/kg (max of 300mg)

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5
Q

If you are unable to establish IV access for adrenaline in cardiac arrest, how do you give it?

A

IO

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6
Q

What is the name of the IO device commonly used in Australia?

A

EZ IO

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7
Q

Which ventricular arrhythmias are shockable/ non shockable?

A

Shockable: VT, VF
Non: PEA, asystole

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8
Q

How much energy (J) would you give for cardioversion in cardiac arrest in an adult?

A

200J

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9
Q

What is the best position in paediatrics (in regards to airway)?

A

infants is neutral position,

if >1 year then it’s the sniffing position

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10
Q

What are the 4H’s and 4T’s in ALS?

A

hypoxia
hypovolaemia
hyper/ hypokalaemia
hypo/hyperthermia

Tension Pneumothorax
Tamponade
Toxins
Thrombosis

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11
Q

Immediate treatment of hypercalaemia

A

ECG - if abnormal Ca gluconate

Insulin and Dextrose

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12
Q

Immediate treatment of MI

A
Aspirin (300mg)
Morphine
GTN (if BP not too low)
ECG
Trops
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13
Q

Where do you place the limb electrodes for an ECG?

A

arm electrodes between shoulder and elbow

leg electrodes between the ankle and torso (Avf on left leg)

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14
Q

Where do you place the chest electrodes for an ECG?

A

V1 and V2 - 4th intercostal space sternal border

V4 - 5th ICS MCL

V6 - midaxillary line, 6th IC space

V3 and V5 - between V2 & 4; and V4 & 6

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15
Q

What are the additional things you do (other than drugs) that you do while CPR is ongoing?

A

airway adjuncts
O2
IV/ IO access

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16
Q

What is involved in assessing the 4Hs and 4 Ts

A

02 sats - hypoxia
asymmetrical chest rise, abnormal breathing sounds, - tension pneumothorax, PE,
raised JVP, muffled heart sounds - tamponade
BP cuff and give fluids - hypovolaemia
Take bloods and