CPR.ACLS Flashcards

1
Q

Ratio of compressions to breaths when starting CPR

A

30:2

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2
Q

Intervention as soon as available during CPR

A
  1. AED (shockable vs non-shockable)
  2. Oxygen (either advanced airway or facemask/ambu-bag)
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3
Q

Measures of CPR quality (rate, depth, EtCO2, Diastolic BP)

A
  1. 100-120 BPM
  2. 2 in
  3. < 10 mm Hg, then improve quality
    4.
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4
Q

Reversible causes of sudden cardiac arrest (5H5T)

A
  1. Hypovolemia
  2. Hypoxia
  3. Hydrogen ion (acidosis)
  4. Hypo/hyperkalemia
  5. Hypothermia
  6. Tension PTX
  7. Tamponade
  8. Toxins
  9. Thrombosis, PE
  10. Thrombosis, cardiac
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5
Q

Shockable rythms

A
  1. Ventricular fibrillation
  2. Pulseless ventricular tachycardia.
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6
Q

8 Steps of ACLS with shockable rhythm

A
  1. CPR
  2. Assess rhythm (Vfib/Pulseless Vtach)
  3. Shock (Biphasic
  4. CPR 2 min, assess rhythm
  5. Shock
  6. CPR 2 min, Epinephrine 1 mg 3-5 min, airway, capnography, assess rhythm
  7. Shock
  8. CPR 2 min, Amiodarone
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7
Q

Energy for shock in ACLS (Biphasic, monophasic)

A
  1. 120-200 J Biphasic
  2. 360 J Monophasic
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8
Q

Frequency of breaths with advanced airway

A

1 breath every 6 seconds (10/min)

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9
Q

Signs of unstable bradyarrythmia

A
  1. Hypotension
  2. AMS
  3. Signs of end organ perfusion
  4. Ischemic chest pain
  5. Acute heart failure
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10
Q

Dosing of atropine for unstable bradycardia (consider while setting up for transcutaneous pacing)

A

0.5 mg, repeat 3-5 min, max 6 doses (3 mg)

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11
Q

Dosing of epinephrine infusion for unstable bradycardia

A

2-10 mcg per minute

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12
Q

Heart block poem

A
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13
Q

Tachyarrythmia (HR > 150) with instability (2 options)

A
  1. Adenosine (if regular)
    1. 6 mg first dose
    2. 12 mg second dose
  2. Synchronized cardioversion
    1. Narrow regular (50-100 J)
    2. Narrow irregular (120-200 J)
    3. Wide regular (100 J)
    4. Wide irregular (Defibrillate)
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14
Q

Tachyarrythmia (stable) with wide QRS (> 0.12s)

A
  1. Adenosine if regular
  2. Antiarrhytmic infusion
    1. Procainamide, Amiodarone, Sotalol
      1. Amio dose 150 mg over 10 min, 1 mg/min for 6 hours.
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15
Q

Stable tachyarrhythmia (>150) with normal QRS

A
  1. Vagal maneuvers
  2. Adenosine (if regular)
  3. B blocker or calcium channel blocker
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