Cardiac Other

Question 1

Bradycardia treatment

Answer 1

NS (Max 2L)
Atropine (Max 3mg)
Epi drip (1-10mcg/min)
Transcutaaneous Pacing (Sedation - 2.5mg versed)

Question 2

Chest pain treatment

Answer 2

12-lead
ASA
Nitro SL/Paste)
Fentanyl (50mcg)
IVx2 (preferred left arm placement)

Question 3

Code Stemi

Answer 3

Name, DOB, Cardiologist

Question 4

Nitro paste blood pressures

Answer 4

SBP > 100 = 1in
SBP > 150 = 1.5in
SPB > 200 = 2in

Question 5

CHF/Pulomary edema

Answer 5

CPAP
12-lead
Nitro
Enalaprilat 1.25mg IV
Shock - Levophed
Sedation CPAP - Versed 1-2mg IV

Question 6

Narrow complex tachycardia

Answer 6

12-lead
IV
Vagal Maneuvers
Adenosine (12mgx2)
Diltiazem 20 mg drip
Repeat Diltiazem 25 mg drip after 15mins
** WPW Amio 150mg drip**

Question 7

Afib w/ RVR

Answer 7

12-lead
IV
Vagal maneuvers
Diltiazem 20 mg drip
Repeat Diltiazem 25 mg drip after 15mins

Question 8

Sinus tachcardia rate per AC6

Answer 8

100 to (220-patient age)

Question 9

Calium chloride and Diltiazem

Answer 9

Patients with tenuous BP (SPB <100) may administer 1G calcium prior to Diltiazem

Question 10

Wide complex tachycardia

Answer 10

12-lead
IV
Adenosine - hx of SVT w/ aberrancy
Amio drip 150mg drip

Question 11

Polymorphic QRS complex

Answer 11

Mag sulfate 2 mg drip

Question 12

Asymptomic patient or minimal symptoms, stable, WCT

Answer 12

Close observation and fluids prior to antidysrthymic meds

Question 13

Define Wake HTN

Answer 13

SBP>220 or DBP>120
Taken at 2 occasions 5 mins apart
Should be transported w/ head elevated at 30 degrees

Question 14

Shock treatment

Answer 14

NS 500ml (max 2L) SBP>90
Levophed 1-10mcg/min IV/IO

None cardiogenic shock needs fluids before meds

Question 15

Acute Adrenal Insufficiency

Answer 15

Solumedrol 125 mg IM/IV or patient prescribed medication