Cardiology

Question 1

A- Fib RVR

Answer 1

Stable:
Diltiazam .25mg/kg IV over 2 mins
or
Verapamil 2.5-5mg slow IV bolus

Unstable:
Cardiovert- 120 J

Question 2

A Flutter

Answer 2

Stable:
Diltiazam .25 mg/kg IV over 2 mins
or
Verapamil 2.5-5mg slow IV bolus

Unstable:
Cardiovert at 50J

Question 3

Vtach with a pulse

Answer 3

Stable:
Amio 150mg rapid infusion over 10 mins
Repeat every 10 mins as needed

Unstable:
Cardiovert starting at 100J

Question 4

Torsades W/pulse

Answer 4

Stable:
1-2g diluted in 2-4 mL of D5W or NS IV/IO

Unstable:
Dfib 200J

Question 5

Brady w/Pulse

Answer 5

Stable:
Not treat or Atropine 1mg (max 3) rapid push

Consider:
Epi 2-10 mcg/kg/min drip
or
Dopamine 5-20mcg/kg/min drip

Unstable:
Transcutaneous pacing <50 bpm

Question 6

Vfib/ Vtach, no pulse

Answer 6

CPR
Shock
Cpr
shock
Epi- 1 mg push (3-5mins)
Shock
Amio 300mg, 150mg
or
Lidocaine 1-1.5mg/kg, half, half (max 3mg/kg)

Question 7

SVT

Answer 7

1- Vagal
2- Adenosine 6mg, 12,mg rapid push
3- Cardiovert 50J

Question 8

Junctional rhythms

Answer 8

Question 9

ET tube sizing for peds

Answer 9

Uncuffed (Age in years /4) + 4

Cuffed (age in years/4) + 3.5