Cardiac

Question 1

What to shock at?

Answer 1

200 biphasic
360 monophasc

Question 2

CPR RR

Answer 2

8-10

Question 3

Lidocaine Dose

Answer 3

1-1.5 mg/kg
then
0.5-0.75 mg/kg

Question 4

Before discontinuation of CPR what should all patients get?

Answer 4

BGL check, 1L IVF, Bilateral NCD

Question 5

What to shock at for peds?

Answer 5

1st: 2J/kg
2nd: 4J/kg, then >= up to 10 Jkg

Question 6

Epi dose peds

Answer 6

0.1 mL/kg

Question 7

RR Ped CPR

Answer 7

12-20

Question 8

Amiodorine CPR Peds

Answer 8

5mg/kg x 2

Question 9

Lidocaine CPR Peds

Answer 9

1mg/kg loading dose
followed by 20-50 mcg/kg/min

Question 10

CPR depth peds

Answer 10

Children: 2 in min
Infants: 1.5 in

Question 11

Bradycardia treatments

Answer 11

Atropine 1 mg q3-5
Pacing or Dop 5-20/kg/min or epi 2-10

Question 12

Ped bradycardia tx

Answer 12

Epi 0.01 mg/kg q 3-5
Atropine 0.02 mg/kg(min 0.1mg MAX 0.5mg)
Pacing

Question 13

Synchronized Cardioversion Doses

Answer 13

A-Fib: 120-200
SVT: 50-100
Wide Regular VT: 100
Wide Irregular: Defibrillate, CPR

Question 14

Wide QRS Regular drug

Answer 14

150/10min, 1mg/min for 6 hours

Question 15

Wide QRS Irregular

Answer 15

Procainamide 20-50 mg/min up to 17 mg/kg

Question 16

Narrow QRS Irregular

Answer 16

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

Question 17

Narrow QRS Regular

Answer 17

6/12

Question 18

Ped Narrow QRS

Answer 18

0.1 mg/kg
0.2 mg/kg

Question 19

Ped Wide QRS

Answer 19

Uniform: Adenosine
Not Uniform:
Amio 5 mg/kg over 20-60 min
Adenosine
Cardioversion: 0.5-1kg followed by 2J/kg

Question 20

Ped Wide QRS Unstable

Answer 20

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

Question 21

Ped Narrow QRS Unstable

Answer 21

Adensoine
Cardiovert

Question 22

Post cardiac arrest hypotension

Answer 22

1-2L IVF
Epi 2-10
Norepi 0.1 - 0.5 mcg/kg/min

Question 23

Post Cardiac Arrest temp

Answer 23

32-36 °C for at least 24 hours

Question 24

Hypertensive Crisis Criteria

Answer 24

SBP > 185 or DBP > 110

Question 25

HTN drop max

Answer 25

No more than a 20% reduction of MAP

Question 26

Labetalol

Answer 26

10-20 mg IV
No not use for COPD/Asthma