Cardiac Flashcards
Cardiac Arrest labs/w/u?
EKG ABG CMP CBC CXR FAST US
TX for PEA?
Epi/dobutamine
mcc for PEA? (9)
Low O2 low vol Low pH Low T Tension PTX Tamponade Lytes OD ACS
Indications for cooling after ROSC?
- Vfib
- Adult
- ROSC in 60 mins
- EMS less than 15 mins
- Intubated
Contraindications for cooling after ROSC?
Non-cardiac cause SBP less than 90 T less than 30 DNR Preg Coagulopathy
10 emergency causes for RD/SOB?
Acute HF ACS Anyphylaxis COPD/Asthma Tamponade Pulm HTN PE PNA PTX Obstruction
W/U for RD/SOB? unknown cause?
CXR d-dimer EKG ABG CMP CK US CT
Indications for BIPAP(5)?
Severe/mod dyspnea
RR >25
pH 45
Using accessory muscles
Contraindications for BIPAP?
Cardiac Arrest
Obstruction
AMS
Immediate TX for decomp HF?
NO
Can add PPV, diurese
Immediate tx for ACS?
Aspirin
Then heparin
Tx for anyphylaxis
Epi + b-ag + steroids
Tx for primary pulm HTN?
O2
Diurese PPV
CAP ABX?
Macrolide OR Quinolone, OR Doxy
HCAP ABX?
Levo + Zosyn OR ipanem OR Cef
+/- Vanc
HCAP risk factors?
Hospitalized for 2 days in last 90 days
Nursing home
Visited hospital, got IV drugs or wound care in last month
Best tx for acute CHF (morbidity and mortality benefit)?
CPAP or BiPAP
