E ACLS Flashcards
(42 cards)
What to do post defibrillation
get right back to CPR
What to do while AED charges
continue CPR
end tidal volume is 500ml of bag, while you ventilate there is a residual of 5ml left in your lungs every time you squeeze the bag, if it builds it can lead to things like bilateral pneumothorax — this is due to increase in thoracic pressure from over ventilating, what happens
Decreases Cardiac output
what is intubation prevent
prevent aspiration
Intubation is ___ open/closed loop circuit and what does it do?
Closed loop circuit and measures CPR efficacy in real time
With intubation how many seconds ventilation
every 6 seconds OR 10 times a minute with ventilation
How to measure oropharyngeal airway
place against side of face/cheek , measure mouth to mandible. Properly sized OPA results in proper alignment with glottic opening
What is purpose of end tidal Co2
CPR efficacy measurement - to ensure CPR efficacy
What does it mean if end tidal Co2 is decreasing
quality of CPR is decreasing, CPR performance dropping
What is diagnostic for ACS
12 lead EKG
What is needed to Dx STEMI
at least 2+ ST elevation in same lead
what is ASA dose
160-325po
when do caution nitroglycerin use
Right ventricle STEMI MI RV1, hold nitro or give with fluids
what is considered SICK pt
SOB, CP, hypotension
Best way to confirm/monitor the position of endotracheal tube?
End Tidal CO2
CXR= NOT answer
- Pt had stents placements 2 weeks ago can have reinfarction?
If they are not properly anticoagulated (ex:plavix)
: Patient with a lot of chest pain, couple days of ago went to ER, ended up at Cath lab, placed 2 stent, 2 days later recovered but now with CP and SOB, why is the patient having CP and SOB despite having stents 2 days ago?
Likely cause is re-infarct in same place, clots in the stent when you are not anticoagulated, having ACS again
Within how many hours to administer fibrinolyic therapy
3 hours of symptoms onset IF CT shows no bleeding or hemorrhage
Can you administer anticoagulant or antiplatelet 24 hours after rtPA
- Do not administer anticoagulants or antiplatelets for 24 hours after administration of rtPA, until a a follow up CT scan at 24 hrs show no intracranial hemorrhage
What are 5 steps to Vib Vtachy
- CPR
- Defibrillate
- Vascular access
- epi [1mg every 4 minutes]
5 amidarone [300mg first, 150mg second]
What rhythms does not need debrilliation
PEA and asystole
What to do when symptomatic bradycardia
atropine
Sick patient with CP, SOB, Hypotension with strip that shows monomorphic ventricular tachycardia, says nothing about 12 lead EKG or Trops in the question. Which Algorithm should be followed
Adult Tachycardia
- CP and SOB are not empirical data of ACS, only EKG and troponin can
What is empirical data of ACS
EKG and trop, NOT NOT NOT CP SOB
