Cardiac Flashcards
What to shock at?
200 biphasic
360 monophasc
CPR RR
8-10
Lidocaine Dose
1-1.5 mg/kg
then
0.5-0.75 mg/kg
Before discontinuation of CPR what should all patients get?
BGL check, 1L IVF, Bilateral NCD
What to shock at for peds?
1st: 2J/kg
2nd: 4J/kg, then >= up to 10 Jkg
Epi dose peds
0.1 mL/kg
RR Ped CPR
12-20
Amiodorine CPR Peds
5mg/kg x 2
Lidocaine CPR Peds
1mg/kg loading dose
followed by 20-50 mcg/kg/min
CPR depth peds
Children: 2 in min
Infants: 1.5 in
Bradycardia treatments
Atropine 1 mg q3-5
Pacing or Dop 5-20/kg/min or epi 2-10
Ped bradycardia tx
Epi 0.01 mg/kg q 3-5
Atropine 0.02 mg/kg(min 0.1mg MAX 0.5mg)
Pacing
Synchronized Cardioversion Doses
A-Fib: 120-200
SVT: 50-100
Wide Regular VT: 100
Wide Irregular: Defibrillate, CPR
Wide QRS Regular drug
150/10min, 1mg/min for 6 hours
Wide QRS Irregular
Procainamide 20-50 mg/min up to 17 mg/kg
Narrow QRS Irregular
Diltiazem 20 mg(0.25mg/kg)/ 2 min, if no hypotension after 15 repeat at 25 mg(0.35mg/kg)
Metoprolol 5 mg q5 x 4 while SBP>100 and P>60
Narrow QRS Regular
6/12
Ped Narrow QRS
0.1 mg/kg
0.2 mg/kg
Ped Wide QRS
Uniform: Adenosine
Not Uniform:
Amio 5 mg/kg over 20-60 min
Adenosine
Cardioversion: 0.5-1kg followed by 2J/kg
Ped Wide QRS Unstable
If Very unstable: Cardioversion: 0.5-1J followed by 2J/kg
Adenosine
Amio 5mg/kg over 20-60 OR Procainamide 15mg/kg over 30-60
Ped Narrow QRS Unstable
Adensoine
Cardiovert
Post cardiac arrest hypotension
1-2L IVF
Epi 2-10
Norepi 0.1 - 0.5 mcg/kg/min
Post Cardiac Arrest temp
32-36 °C for at least 24 hours
Hypertensive Crisis Criteria
SBP > 185 or DBP > 110
