Exam 2 - ACLS Flashcards by Ashley Burkhalter

when and who should assign jobs for a code

CN at the beginning of shift

How well did you know this?

Not at all

Perfectly

where are critical meds kept in a crash cart

first drawer

How well did you know this?

Not at all

Perfectly

how long do you have to determine if pt has a pulse

< 10 seconds

How well did you know this?

Not at all

Perfectly

primary survery

ABCD (early defib)
use of AED

How well did you know this?

Not at all

Perfectly

secondary survey

advanced skills
differential dx

How well did you know this?

Not at all

Perfectly

meds that can be administered in an ETT

lidocaine
epi
vasopressin

*atropine + narcan but not included in ACLS protocol

How well did you know this?

Not at all

Perfectly

what 5 things are continuously being assessed during a code

pulse ox
ETCO2
pulse check
ABGs
lab work

How well did you know this?

Not at all

Perfectly

200 jules is called ___; 360 jules is called ___

200: biphasic
360: monophasic

How well did you know this?

Not at all

Perfectly

VF, pulseless VT interventions

ABCD, initiate CPR
shock, CPR, shock, CPR, etc.
epi, vasopressin
intubate
continue with drug shock

How well did you know this?

Not at all

Perfectly

asystole interventions

ABCD with CPR
airway, O2, intubate
IV access
confirm in 2 leads
treat cause
transcutaneous pacer
epi

How well did you know this?

Not at all

Perfectly

PEA interventions

ABCD with CPR
airway, oxygen, intubate
IV access
epi

How well did you know this?

Not at all

Perfectly

What are the H’s in H&T’s

hypoxia
hypovolemia
hypothermia
H+ ions (acidosis)
hypo or hyperkalemia

How well did you know this?

Not at all

Perfectly

What are the T’s in H&T’s

tablets (OD)
tamponade (cardiac)
tension pneumothorax
thrombosis (coronary, pulmonary)

How well did you know this?

Not at all

Perfectly

symptomatic bradycardia interventions

ABCD with CPR
airway, O2
IV access
atropine
consider cause
transcutaneous pacing
dopamine, epi
NO LIDOCAINE

How well did you know this?

Not at all

Perfectly

unstable tachycardia interventions

ABCD
airway, O2
IV access
ID unstable tachycardia
sedation
cardioversion
reassess pt and rhythm

How well did you know this?

Not at all

Perfectly

what is the primary treatment for VF and pulsless VT

defibrillation

How well did you know this?

Not at all

Perfectly

defib complications

skin burns
damage to heart muscle

How well did you know this?

Not at all

Perfectly

when are internal spoons defib used

cardiac surgery
open-chest CPR

How well did you know this?

Not at all

Perfectly

defibrillator paddle/pad placement

transverse/posterior
anterior/posterior

How well did you know this?

Not at all

Perfectly

cardioversion provides synchronized delivery on __ wave

R wave

prevents shock on T wave

How well did you know this?

Not at all

Perfectly

cardioversion joules amount

How well did you know this?

Not at all

Perfectly

no pulse =

defibrillation

How well did you know this?

Not at all

Perfectly

symptomatic tachycardia =

cardioversion

How well did you know this?

Not at all

Perfectly

transcutaneous cardiac pacing pad placement

anterior/posterior

what meds are needed with transcutaneous pacing

sedation, analgesia

how much O2 is to be delivered during cardiopulmonary arrest

100% O2 15L/min via BVD

epi can be used during which rhythms

VF pulseless VT asystole PEA

how much and how often can epi be used/given

1mg (1:10000) IVP q 3-5 minutes followed by 20 cc NS flush

how much vasopressin is administered

1 time dose of 40 units

rhythms for vasopressin

VF pulseless VT

when is atropine given

symptomatic bradycardia

is atropine administered for asystole or PEA

if pt has a Mobtiz 2 or 3rd degree AVB, should you give atropine

No, does not respond

how much and how to administer atropine

q3-5 minutes IVP for a maximum dose of 3mg

atropine maximum dose

3 mg

amiodarone facilitates the termination of which 2 rhythms

VT VF

how much amiodarone is given during cardiac arrest

300 mg bolus, repeat with 150 mg after a cycle of CPR

when would you give amiodarone 150 mg as a loading bolus

if they have a pulse

lidocaine concentration

1 mg/min 15 mL/hour

initial dose of adenosine

6 mg over 1-3 seconds followed by 20cc rapid saline flush

what is expected in rhythm after administering adenosine

short pause in rhythm

2nd and 3rd dose of adenosine is __ mg

12 mg

how much time between adenosine doses

1-2 minutes

when is mag administered

refractory VF torsades

nonarrest mag loading dose

1-2 G

mag has to be diluted with at least __ mL of NS

how long to infuse mag

5-20 minutes

what to do before and after administered sodium bicarb

flush - sodium bicarb has a lot of interaction

sodium bicarb treats which acid-base imbalance

metabolic acidosis

initial dose of sodium bicarb

1 mEq/kg

when is dopamine given

symptomatic hypotension

how much dopamine is given

2-5 mcg/kg/min

what dose does mark vasoconstriction occur with dopamine

20 mcg/kg/min

BGL post CPR may be high or low

high

lower or higher body temperature is associated with better recovery

lower therapeutic hypothermia

methods to measure body core temperature

bladder cath with temp probe esophageal thermometer pulmonary artery catheter

primary survey: ABCDE

airway breathing circulation disability (lethargic, irritable) exposure (pt temp)

secondary survey: SAMPLE

s/sx allergies medications taking pertinent PHMx last PO intake events/exposure leading up to