BLS/ACLS Flashcards
Signs of Stroke?
(Acronym)
Face
Arms
Speech
Time
ARMS -palms up, arms out and eyes closed
FAST
Treatment for narrow QRS>= 12 secs
IVs + 12 Lead (Movie)
Vagal Maneuvers
Adenosine (if regular)
B Blocker or CA blocker
(7)
Drugs in Stroke protocol?
- Fibrotic agent (tPA)
- Glucose
- Labetalol
- Nicardipine
- Enalaprilat
- Aspirin
- Nitroprusside
Synchronized Cardioversion?
1.Narrow irregular
2.Narrow regular
3.Wide regular
4.Wide irregular
- 120-200J narrow irregular
- 50-100J narrow regular
- 100J wide regular
- Defib dose - wide irregular
H’s T; (5 each)
5 T’s?
- Thombus (pulm)
- Thrombus (cardiac)
- Toxins
- Tension pneumo
- Tamponade
For ACS tx, how much aspirin do you give?
160-325mg
’
5 H’s?
- Hypovolemia
- Hyper/Hypokalemia
- H+ (acidosis)
- Hypoxia
- Hypothermia
2 reperfusion techniques for STEMI?
Fibrinolysis
PCI
Percutaneous coronary intervention
6 drugs for ACS? ST elevation
- Aspirin
- Oxygen
- Nitroglycerin
- Opiate
- Fibrolytic tx (maybe)
- Heparin
ABC…
Steps for PRIMARY assessment
Airway
Breathing
Circulation (CPR, IV/IO, glucose/temp)
Disability (pupils, neuro)
Expose (trauma’s, bleeds)
CPR: How much depth?
How fast?
5 cm - width of credit card
100-120/min
What Pet C02 indicates quality CPR
> 10 mmHg
ST
12 Lead ecg with ACS helps lump patient’s in what 3 categories
ST elevation (ongoing injury)
ST depression (ischemia)
Normal
Occlusion of what 2 coronary arteries is associated with PEA
Left Main
or
Proximal Left anterior descending
Think super basic
Steps for BLS assessment
- Safe to proceed?
- Check responsiveness
- Activate ER response/ Get AED Defibrillator
- Check Pulse
- Defib if need
Dx for ACS? Stroke?
ACS - 12 lead
Stroke - CT scan
Tx for cardiac tamponade in arrest?
Pericardiocentesis
2 most common causes of PEA?
Hypoxia
Hypovolemia
Tachycardia: when do we consider Adenosine? Dose?
regular narrow complex tachy
1st - 6mg IV push
2nd - 12mg IV push
Stoke:
% are ischemic
% are hemorrhagic
80% ischemic
20% hemorrhagic
How often do you deliver breath with BVM?
Every 5-6 seconds
Wide QRS stable Tx?
IVs + 12 Lead
Adenosine - regular monomorphic
Antiarrhythmic infusion
Bradycardia
1) Dose of what initial drug?
2) What 2 alt. drugs and mechanical tx?
1) Atropine 0.5mg Bolus
2) Pacing transcutaneous or Dopamine/Epinephrine
Major cause of narrow complex tachy PEA?
Hypovolemia
4 Steps when medical emergency?
1 Initial assessment
BLS assess
Primary A-B-C-D-E
Secondary H’s and T’s
SA Node BPM?
60-100 bpm
AV node BPM?
40-60 BPM
Bundle of his/ Purkinje Fibers BPM?
20-40 BPM
Does Atropine work in 3rd degree heart block?
Why? Why not?
Doesn’t work in 3rd degree block
Works on Vagus nerve
