Cardiac Flashcards
For gunshot wound to the chest second rescuer maintains
Airway
Tricyclic OD use…
Antidepressant
1 meq/kg Sodium Bicarbonate
Beta blocker OD use…
1 mg Glucagon
COPD treated with…
O2, Albuterol, & CPAP
Chest pain protocol:
O2,Aspirin, & Nitro
Glascow Coma Scale:
Eyes
Motor
Verbal
Eyes 2
Motor 3
Verbal 4
Possible causes of PEA:
The question will list 4. One of them will be incorrect.
H’s
1) Hypovolemia
2) Hypoxia
3) Hydrogen (Acidosis)
4) Hypokalemia/ Hyperkalemia
5) Hypoglycemia
6) Hypothermia
T’s
1) Toxins
2) Cardiac Tamponade
3) Tension Pneumothorax
4) Thrombosis
5) Tachycardia
6) Trauma
& Anaphylaxis
First line drug for Anaphylaxis:
0.3 mg Epi 1:1000
Best combo for low blood sugar:
Thiamine & D10
or
Oral Glucose & Glucagon
After 0.4 mg of Narcan for suspected overdose what is next?
1 mg Narcan
EMT
Is a Certification
What is the IV flowrate for adult Burn patients W/O shock:
20-30 ml/hr
Which burn is worst?
Circumferential
Which burn is moderate:
Partial >25
Biological death:
Dependent lividity
Is there a Reisen antidote?
No
Morphine sulfate
Dose
2 mg to a max of 6 mg
Can you sub Turbutaline for epinephrine in anaphylaxis?
No
Which officer is not on the general staff?
Safety officer
SLUDGEM
Which one is a symptom of reaction to nerve agents/ organophosphate poisoning?
Excess Lacrimation (Tearing)
APGAR
Color, Reflex irrability, Muscle tone, Heart rate, Respiratory effort
When scene isn’t safe
Ensure that you are safe
Chainsaw drop on thigh
BSI
Amiodarone
Dose
150 mg in 100 mL D5W
D25 in a 50 lb patient:
11 g
How many IV attempts for a stroke patient?
1 attempt
What is the earliest signs of shock?
Difficulty breathing
What is the leading cause of death from a MI?
Dysrhythmias
What made don’t you give for CHF (Pulmonary Edema)?
Aspirin
When not to give nitroglycerin?
Head injury
Low blood pressure
If taken any erectile dysfunction meds
Pediatric adenosine
Dose
0.2 mg/ kg
Synchronized cardioversion:
50 joules
Amiodarone
15 mg per minute for 10 minutes
If patient goes asystole:
Check carotid pulse and check leads on monitor
For unstable VTach:
Cardiovert
Meds for unstable VTach:
12 mg of adenosine
How to treat Adrenal failure:
100 mg of Solu Cortef via IV
Pediatric KVO:
20 mL
Infant KVO:
10 mL
Pain in left lower quadrant for girl is likely what?
Ectopic pregnancy
Right lower quadrant’s:
Appendix
When pediatric trauma score is 10 or less:
Contact med control and go to trauma 1 hospital
What are the affects of nitroglycerin?
Vasodilation and reduces afterload
What type of drug is Naloxone/Narcan?
Narcotic Antagonist
What is the alternative to oral glucose?
1 mg of glucagon
What Drug can you give to counter Morphine Sulfur OD?
0.01 mg/kg of Narcan (Naloxone) immediately
What is the goal of treating a patient who has had or is having an MI?
Early and direct transport to a PCI hospital
What’s the goal and or objective of a rapid trauma assessment?
To identify and treat life threats
What PEA would benefit most from a fluid challenge wide open 500 mL bolus?
Hypovolemic
What is the dosage of morphine given to an adult patient for relief?
2-4 mg over 1-2 mins
0.1 mg/kg (typical adult dose is 2 to 6 mg at about 2 mg per minute)
What protocol is synchronized cardioversion indicated in?
Superventricular tachycardia (SVT)
A 7 year old boy with stable SVT.. What do you do first? What do you do second?
1) Vagal maneuver
2) 0.2 mg per kilogram of adenosine
Male complaining of chest pain and difficulty breathing after having 2 stents put in 4 days earlier and has a low SPO2. What could be the possible causes?
Cardiogenic shock
Cushing’s Triad
Indicative of head injury
- high BP
- low HR
- altered mental status
Cushing’s reflex:
Increased ICP
- high BP
- low HR
- altered respirations
Medication for stable VTach patient:
Amiodarone 150 mg IV
Why are burns more serious with pediatrics than adults?
Body surface to mass is greater
What medications do you need for cyanide poisoning? (Aerosol sprayed in air)
O2, Albuterol & 2PAM
Infant burn chart
Head 18 Front body 18 Back body 18 L Arm 9 R Arm 9 L Leg 14 R Leg 14 Crotch 1
Which tag is most critical?
Red
Cardiovert Pedi
0.5 to 1 j/kg
2 j/kg
Defibrillate Pedi
2 j/kg
Rosc @ 4 j/kg
Terbutaline
COPD, Asthma
0.25 mg SubQ
CHF
Lasix 80 mg Furosemide
Hyperkalemia; Crushing injury; Dysrythmia
Calcium chloride 1 g IV
Pericarditis
Possible STEMI
Adult burns W/ shock:
300 mL/ hr wide open
Chest pain w low BP
Due to posterior descending artery
PH
7.35 - 7.45
Albuterol (Preventil, Ventolin)
2.5 mg in 3 mL NS
Ipatropium (Atrovent)
500 mcgs/ 2.5 mL
Left coronary arteries
85% of blood to the heart muscle
Prolonged PR interval- Where is it happening in the heart?
> .20 Block AV node
Adult bolus
500 mL
Respirations
BVM vs NRB
Less than 8
And
Greater than 28
Apneic patient
Use a BVM
Inhalation burns:
NO EOA
Non suspected OD
Narcan (Naloxone) 0.4 mg/min to max of 2
Suspected overdose
Narcan 2.0 mg/min to a total of 10 mg
Pediatric adenosine
Dose
0.2 mg/ kg to a max of 12 mg via IV
Rapid pinch, push 1-3 secs, flush 20 ml NS
Pediatric amiodarone
Dose
5 mg/kg to max of 300
Pediatric epinephrine
Dose
> 50 lbs max 0.3 ml
25-50 lbs max 0.2 ml
Pediatric albuterol
Preventil or Ventolin
> 6 mo 2.5 mg over 5-15 mins
Pediatric atropine
0.02 mg/ kg to a max of 2 mg
Symptomatic bradycardia
Pedi Terbutaline- Beta 2 antagonist
(Brethine)
Dose
0.01 mg/kg to a max of 0.25
Pedi Glucagon
Dose
0.1 mg/kg to a max 1 mg
Pedi Hydrocortisone (Solu-Cortef) Dose
1-2 mg/kg
Pedi Lidocaine
Dose
20-40 mg
ET Tube
(Age/4)+4=Size
Atropine sulfate dose
0.5 mg IV push
symptomatic bradycardia
