Cardiology 101 Flashcards
What is SVT’s rate
Often between 170-230 bpm
What is NSR rate?
60-100 bpm
What is sinus bradycardia?
Less than 60 bpm
What is sinus tachycardia?
100-150 bpm
What is the key characteristic of 1st degree HB
Prolonged PR interval of more than .20 seconds
What is the adult dose for a fluid bolus?
500 mL, may repeat as needed
MAX 2 L
What is the adult does for epi 1:10,000
1 mg every 5 minutes
What is atropine used for?
Bradycardia
What is the adult dose for atropine?
1 mg
May repeat every 3-5 minutes
MAX 3 mg
What is the dose for epi drip?
1-10 mcg/min
Titrate to SBP greater or equal to 90 mmhg
What is the dose for dopamine drip?
2-20 mcg/kg/min
Titrate to SBP greater than or equal to 90 mmhg
What is dopamine used for
bradycardia
What are the h’s and t’s of cardiac arrest
Hypovolemia
Hypoxia
Hydrogen ion (acidosis)
Hypothermia
Hypokalemia
Hyperkalemia
Tension pneumothorax
Tamponade; cardiac
Toxins
Thrombosis; pulmonary (PE)
Thrombosis; coronary (MI)
What is nitro paste’s dose?
1 inch SBP 100-149
1.5 inch SBP 150-199
2 inch SBP 200 and up
What is morphines dose?
2-4 mg IV/IO
Repeat every 5 minutes as needed
MAX 10 mg
What is fentanyl’s dose?
50-75 mcg
Repeat 25 mcg every 20 minutes as needed
MAX 200 mcg
What is furosemide used for?
Moderate to severe CHF symptoms
What is furosemide’s dose?
40 mg IV
ONLY IF:
transport time over 30 min
Known CHF/daily lasix
Afebrile
What is the dosage of midazolam for sedation prior to cardioversion?
2-2.5 mg IV/IO
May repeat as needed
Maximum 10 mg
How many jules do you use in unstable narrow and regular complex tachycardia?
50-100 J, synchronized
How many jules do you use in unstable narrow and irregular complex tachycardia?
120-200 J, synchronized
What is cardizem’s dosage in stable irregular narrow complex tachycardia?
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
What is amiodarones dosage in stable irregular narrow complex tachycardia?
150 mg in 100 ml of D5W
How many jules do you use on wide regular or irregular tachycardia (v-tach)?
200-360 J
Monomorphic QRS (synchronized)
Polymorphic QRS (not-synchronized)
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
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
What is the amount of jules used in torsades de points (wide and irregular)?
200-360, non synchronized
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
How do you treat torsades with a QT interval over 500 msec?
Magnesium 2 g IV/IO
May repeat
MAX 4g
How much amiodarone do you use in pulseless v-tach
300 mg IV/IO
May repeat if refractory
150 mg IV/IO
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
what is the dose for methylprednisolone
125 mg
What is the dose for diphenhydramine
25-50 mg IV/IO/IM
How much d 10 do you use in hypoglycemia
125 mL-250 ml
May repeat until blood glucose is above or equal to 80
How much d50 do you use in hypoglycemia
12.5-25 g
May repeat until blood glucose is above or equal to 80
How much calcium gluconate is used in cardiac arrest or peaked t wave in a renal failure patient?
2 gm
How much calcium chloride is used in cardiac arrest or peaked t wave in a renal failure patient?
1 gm
How much sodium bicarbonate is used in cardiac arrest or peaked t wave in a renal failure patient?
50 mEq
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
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
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
How much albuterol do you give to a peds pt?
1.25-2.5 mg
How much ipratropium do you put in a ped duo neb
0.5 mg
Repeat as needed x3
How much IM epi do you give a ped patient
0.01 mg/kg IM
MAX 0.3
How much methylprenisolone do you give a ped pt
2 mg/kg IV/IO/IM
MAX 125 mg
How much magnesium sulfate do you give a ped pt
40 mg/kg
Infuse over 10-20 minutes
MAX 2 g
How much epi do you give a peds pt in cardiac arrest
.01 mg/kg
MAX single dose 1 mg
How much fluid can you give a peds pt
20 ml/kg
May repeat as needed
MAX 60 mL/kg
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
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
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
What is peds pt adenosine dose?
0.1 mg/kg
MAX 6 mg
May repeat 0.2 mg/kg
MAX 12 mg
How much benadryl can you give a ped pt?
1 mg/kg
How much methylpednisolone can you give a ped pt?
2 mg/kg IV
MAX 125 mg
How much D10 can you give a ped under 1 yr
5 mL/kg
Repeat as needed
How much D25 can you give a peds pt 1-2 yrs
2 mL/kg
Repeat as needed
How much D50 can you give a patient over 2 years
1 ml/kg
MAX 25 g per dose
Repeat as needed