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Cardiology 101 Flashcards

1
Q

What is SVT’s rate

A

Often between 170-230 bpm

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2
Q

What is NSR rate?

A

60-100 bpm

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3
Q

What is sinus bradycardia?

A

Less than 60 bpm

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4
Q

What is sinus tachycardia?

A

100-150 bpm

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5
Q

What is the key characteristic of 1st degree HB

A

Prolonged PR interval of more than .20 seconds

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6
Q

What is the adult dose for a fluid bolus?

A

500 mL, may repeat as needed
MAX 2 L

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7
Q

What is the adult does for epi 1:10,000

A

1 mg every 5 minutes

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8
Q

What is atropine used for?

A

Bradycardia

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9
Q

What is the adult dose for atropine?

A

1 mg
May repeat every 3-5 minutes
MAX 3 mg

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10
Q

What is the dose for epi drip?

A

1-10 mcg/min
Titrate to SBP greater or equal to 90 mmhg

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11
Q

What is the dose for dopamine drip?

A

2-20 mcg/kg/min
Titrate to SBP greater than or equal to 90 mmhg

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12
Q

What is dopamine used for

A

bradycardia

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13
Q

What are the h’s and t’s of cardiac arrest

A

Hypovolemia
Hypoxia
Hydrogen ion (acidosis)
Hypothermia
Hypokalemia
Hyperkalemia
Tension pneumothorax
Tamponade; cardiac
Toxins
Thrombosis; pulmonary (PE)
Thrombosis; coronary (MI)

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14
Q

What is nitro paste’s dose?

A

1 inch SBP 100-149
1.5 inch SBP 150-199
2 inch SBP 200 and up

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15
Q

What is morphines dose?

A

2-4 mg IV/IO
Repeat every 5 minutes as needed
MAX 10 mg

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16
Q

What is fentanyl’s dose?

A

50-75 mcg
Repeat 25 mcg every 20 minutes as needed
MAX 200 mcg

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17
Q

What is furosemide used for?

A

Moderate to severe CHF symptoms

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18
Q

What is furosemide’s dose?

A

40 mg IV
ONLY IF:
transport time over 30 min
Known CHF/daily lasix
Afebrile

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19
Q

What is the dosage of midazolam for sedation prior to cardioversion?

A

2-2.5 mg IV/IO
May repeat as needed
Maximum 10 mg

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20
Q

How many jules do you use in unstable narrow and regular complex tachycardia?

A

50-100 J, synchronized

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21
Q

How many jules do you use in unstable narrow and irregular complex tachycardia?

A

120-200 J, synchronized

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22
Q

What is cardizem’s dosage in stable irregular narrow complex tachycardia?

A

0.25 mg/kg
Over 2-3 minutes MAX 25

If no improvement
5-15 mg/hr IV/IO

If no improvement in 15 minutes
0.35 mg/kg IV/IO
MAX 25 mg

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23
Q

What is amiodarones dosage in stable irregular narrow complex tachycardia?

A

150 mg in 100 ml of D5W

24
Q

How many jules do you use on wide regular or irregular tachycardia (v-tach)?

A

200-360 J
Monomorphic QRS (synchronized)
Polymorphic QRS (not-synchronized)

25
Whats the dosage for amiodarone in stable irregular wide complex tachycardia?
150 mg in 100 mL of D5W IV/IO Infuse over 10 minutes May repeat if wide complex tachycardia recurse 450 mg in 250 mL of D5W 1mg/min (33 mL/hr) IV/IO
26
Whats the dosage for procainamide in stable irregular wide complex tachycardia?
20-50 mg/min IV/IO 1-4 g/min MAX 17 mg/kg
27
What is the amount of jules used in torsades de points (wide and irregular)?
200-360, non synchronized
28
What is the dosage for lidocaine in torsades?
1-1.5 mg/kg May repeat if refractory 0.75 mg/kg IV/IO MAX 3 mg/kg
29
How do you treat torsades with a QT interval over 500 msec?
Magnesium 2 g IV/IO May repeat MAX 4g
30
How much amiodarone do you use in pulseless v-tach
300 mg IV/IO May repeat if refractory 150 mg IV/IO
31
How much lidocaine is used in pulseless v-tach
1.0-1.5mg/kg IV/IO May repeat if refractory 0.75 mg/kg IV/IO MAX 3 mg/kg IF REFRACTORY Mag 2 g
32
what is the dose for methylprednisolone
125 mg
33
What is the dose for diphenhydramine
25-50 mg IV/IO/IM
34
How much d 10 do you use in hypoglycemia
125 mL-250 ml May repeat until blood glucose is above or equal to 80
35
How much d50 do you use in hypoglycemia
12.5-25 g May repeat until blood glucose is above or equal to 80
36
How much calcium gluconate is used in cardiac arrest or peaked t wave in a renal failure patient?
2 gm
37
How much calcium chloride is used in cardiac arrest or peaked t wave in a renal failure patient?
1 gm
38
How much sodium bicarbonate is used in cardiac arrest or peaked t wave in a renal failure patient?
50 mEq
39
How much TXA is given after a patient has given birth and has an uncontrolled vaginal hemorrhage with signs of shock?
1-2 gm over 10 minutes IV/IO
40
How much midazolam do you give a patient in eclampsia having a seizure?
2.5 mg IV/IO May repeat every 3-5 minutes as needed 5 mg IM 2 mg IN MAX 10 mg
41
How much magnesium sulfate do you give a patient in eclampsia having a seizure?
2 g IV/IO over 2-3 minutes May repeat x1
42
How much albuterol do you give to a peds pt?
1.25-2.5 mg
43
How much ipratropium do you put in a ped duo neb
0.5 mg Repeat as needed x3
44
How much IM epi do you give a ped patient
0.01 mg/kg IM MAX 0.3
45
How much methylprenisolone do you give a ped pt
2 mg/kg IV/IO/IM MAX 125 mg
46
How much magnesium sulfate do you give a ped pt
40 mg/kg Infuse over 10-20 minutes MAX 2 g
47
How much epi do you give a peds pt in cardiac arrest
.01 mg/kg MAX single dose 1 mg
48
How much fluid can you give a peds pt
20 ml/kg May repeat as needed MAX 60 mL/kg
49
How much atropine do you give a peds patient in bradycardia
0.02 mg/kg May repeat x1 Minimum single dose 0.1 mg MAX single dose 0.5 mg
50
How many jules do you cardiovert unstable narrow complex tachycardia in a ped pt
0.5-1 j/kg Repeat and increase to 2J/kg May increase to 4J/kg or adult max
51
What is the peds dose of midazolam before cardioverting a ped pt?
0.1-0.2mg/kg May repeat if needed MAX single dose 2 mg MAX total dose 5 mg
52
What is peds pt adenosine dose?
0.1 mg/kg MAX 6 mg May repeat 0.2 mg/kg MAX 12 mg
53
How much benadryl can you give a ped pt?
1 mg/kg
54
How much methylpednisolone can you give a ped pt?
2 mg/kg IV MAX 125 mg
55
How much D10 can you give a ped under 1 yr
5 mL/kg Repeat as needed
56
How much D25 can you give a peds pt 1-2 yrs
2 mL/kg Repeat as needed
57
How much D50 can you give a patient over 2 years
1 ml/kg MAX 25 g per dose Repeat as needed

Paramedic (7 decks)

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