Cardiac Emergencies Flashcards
Medication and dose of drug indicated in symptomatic bradycardia if TCP unavailable
Atropine 0.5-1mg
At what heart rate should you begin CPR in a pediatric patient with bradycardia who is hemodynamically unstable?
HR less than 60
In PEDIATRIC symptomatic bradycardia, which drug/dose should you try first?
Epi 1:10,000 0.01 mg/kg IV/IO q 3-5 min
What are the 5 “H’s” in the H’s and T’s?
Hypovolemia, Hypoxia, Hydrogen Ion Acidosis, Hypo/Hyper-kalemia, Hypoglycemia, Hypothermia
What are the 5 “T’s” in the H’s and T’s?
Toxins, Tamponade (cardiac), Tension Pneumothorax, Thrombus, Trauma
In PEDIATRIC symptomatic bradycardia, which drug/dose would you attempt AFTER Epi 1:10,000?
Atropine 0.02 mg/kg, maximum single dose 0.5 mg
Your adult patient is in A-fib with RVR at a rate of 200 with a blood pressure of 130/90. What is the drug/dose of choice in this patient?
Diltiazem (Cardizem) 10-20 mg over 2 min.
What is the dose of Adenosine for a patient in SVT?
First dose: 6mg, Second dose: 12 mg, 3rd dose: 12 mg
RAPID IV PUSH due to very short half-life. Only move on to second/third dose if conversion does not happen.
In a stable patient experiencing VT or a Wide Complex Tachycardia, what is the drug/dose you would use for treatment?
Amiodarone 150 mg over 10 minutes mixed in 50-100 ml of D5W. **Should not be mixed in Normal Saline*
What dose of Magnesium Sulfate would you give in a patient presenting with Torsades de Pointes?
1-2 Grams IV/IO over 2 minutes
What drug can you treat your patient who you’ve given Diltiazem to, but then becomes hypotensive from it?
Calcium Chloride 500 mg IV
PEDIATRIC dose of Adenosine?
0.1 mg/kg RAPID IV/IO to a max of 6mg
Second and Third dose: 0.2 mg/kg RAPID IV/IO, max dose of 12 mg.
PEDIATRIC dose of Amiodarone in symptomatic wide-complex tachycardia?
5 mg/kg IV/IO over 20 minutes. (Obtain 12-Lead EKG prior to administration)
What dose/drug is given in Asystolic Cardiac Arrest?
Epinephrine 1:10,000 1 mg IV/IO every 4 minutes up to a max of 4 doses.
How much Sodium Bicarbonate can be given in Asystolic Cardiac Arrest after consult?
1 mEq/kg
PEDIATRIC dose of Epi 1:10,000 in cardiac arrest?
0.01 mg/kg to a max of 4 doses.
PEDIATRIC defibrillation dose for VF/VT Cardiac Arrest?
2 J/kg, then 4 J/kg, then 6 J/kg, then 8 J/kg, then 10 J/kg
PEDIATRIC Cardiac Arrest dose of Amiodarone in VF/VT Cardiac Arrest?
5 mg/kg to a max single dose of 300 mg, may repeat twice
Epi dose in Adult PEA Cardiac Arrest?
1 mg every 4 min to a max of 4 doses. If arrest occurs after ROSC, an additional 2 doses may be administered.
Amiodarone dose in pulseless VF/VT Adult Cardiac Arrest?
300 mg IV/IO, may give a second dose of 150 mg IV/IO
How old must a patient be to treat with the Neuroprotective Induced Hypothermia Protocol after ROSC from a medical etiology Cardiac Arrest?
18 or older (GCS less than 8)
What is the initial joule setting for cardioversion of an adult patient in SVT, VT, or Atrial Flutter?
100 J
What is the initial joule setting for cardioversion of an adult patient in Atrial Fibrillation?
200 J
Defibrillation dose for an adult patient on a biphasic (ProPaq) monitor?
120J, then 150 J, then 200 J
Transcutaneous Pacing: Adult rate and Milliamperes that you start at?
80 bpm and start the milliamps as low as possible while gradually increasing until you can confirm mechanical and electrical capture. (Max 200 m.a.)
What rate would you start TCP on a pediatric patient (1-12 years)?
100 bpm
Inferior AMI - ST elevation in which leads?
II, III, aVF
Septal AMI - ST elevation in which leads?
V1, V2
Anterior AMI - ST elevation in which leads?
V3, V4
Lateral AMI - ST elevation in which leads?
V5, V6, I, aVL
