Cardiac Treatments

Question 1

SVT Stable

Answer 1

Vagal maneuver

Adenosine 6mg, rapid IV push followed by 20cc flush

Adenosine 1g, rapid IV push followed by 20cc flush

Question 2

SVT Unstable

Answer 2

Consider Vagal maneuver while attach defib pads

Consider sedation 5-10 diazepam

Synchronized cardioversion 50-100J upto 200J

Question 3

Any rhythm with condition PEA

Answer 3

Airway

CPR

IV Lg bore

Epi IV push 1mg, 1:10,000 every 3-5 mins

Consider Possible causes

Question 4

Brady rhythms Unstable

Answer 4

Pace

If pacing doesn’t work consider Atropine 0.5mg, 3-5 mins up to max of 3mg

Question 5

Atrial Fibrillation/Rapid Ventricular Response Stable

Atrial Flutter/Rapid Ventricular Response Stable

Answer 5

With RVR consider Mesa to control rate:

Diltiazem

Question 6

Atrial Fibrillation/Rapid Ventricular Response Unstable

Atrial Flutter/Rapid Ventricular Response Unstable

Answer 6

Consider sedation 5-10 mg of diazepam

Synchronized cardioversion 200J

Question 7

V-Fib/Pulseless V-Tach

Answer 7

Start CPR

Place defibrillator pads

Defibrillation 200J

1mg, EPI 1:10,000 IV push