Cardiac Flashcards
1
Q
- 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
2
Q
- What is the Rx for AF and SVT deteriorating to the point of cardiac arrest?
A
Synchronised cardioversion 200J
3
Q
- What is the process of Modified Valsalva? Standard Valsalva?
A
- Position semi-recumbent (45deg angle)
- Forced expiration - 15secs into 10mL syringe
- Immediately lay pt flat and raise legs to 45deg angle for 15secs
- Return pt to semi-recumbent position
(Patients must have SBP≥90)
Standard: supine, forced expiration
4
Q
- 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)
5
Q
- What are the C/I to CPAP? GASHFAP
A
GCS<13 Active vomiting need for Secure airway Hypoventilation Facial trauma Arrhythmias (life threatening) Pneumothorax
6
Q
- 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
7
Q
- 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