Cardiac Flashcards

1
Q
  1. What is the Rx for ACS?
A
  • 12-lead within 10mins
  • Request early MICA/HEMS for suspected STEMI and notify hospital
  • Aspirin 300mg
  • GTN 600mcg or 300mcg (no prev. admin, borderline BP or ≤60kg/elderly/frail - repeat @5min intervals titrated to pain/side effects
  • GTN patch 50mg (0.4mg/hr)
  • Inadequate response - treat with opioids
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2
Q
  1. What is the Rx for AF and SVT deteriorating to the point of cardiac arrest?
A

Synchronised cardioversion 200J

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3
Q
  1. What is the process of Modified Valsalva? Standard Valsalva?
A
  1. Position semi-recumbent (45deg angle)
  2. Forced expiration - 15secs into 10mL syringe
  3. Immediately lay pt flat and raise legs to 45deg angle for 15secs
  4. Return pt to semi-recumbent position
    (Patients must have SBP≥90)
    Standard: supine, forced expiration
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4
Q
  1. What is the Rx for Stable SVT (AVNRT or AVRT)?
A
  • Exclude AF and atrial flutter

- SBP≥90 - 12 lead - Modified or standard valsalva, repeat x2 @ 2min intervals (max 3 attempts)

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5
Q
  1. What are the C/I to CPAP? GASHFAP
A
GCS<13
Active vomiting
need for Secure airway
Hypoventilation
Facial trauma
Arrhythmias (life threatening)
Pneumothorax
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6
Q
  1. What is the Rx for cardiogenic PO?
A
  • Short of breath and crackles: GTN 600mcg or 300mcg if no prev. admin, borderline BP, ≤60kg/elderly/frail - repeat at 5min intervals
    + GTN patch
  • No improvement or full field APO: CPAP, suction and assisted ventilation if required
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7
Q
  1. What is the Rx for a STEMI?
A
  • Transmit ECG, request MICA, Rx as per ACS
  • Time to PCI<1hr - Tx with hospital notification, Heparin IV bolus 4000IU (must consult) repeat 1000IU @1hr intervals, capture repeat ECG 30mins prior to arrival
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