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ACLS > Exam Review > Flashcards

Exam Review Flashcards

1
Q

A fib tx

A

Rate control/cardioversion

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2
Q

Atrial Flutter tx

A

Rate control or cardioversion

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3
Q

SVT tx

A

Rate control or cardioversion

Adenosine

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4
Q

Monomorphic V tach tx

A

Antiarrhythmias or cardioversion

Amiodarone if they have a pulse

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5
Q

Polymorphic V tach tx

A

Antiarrhythmics or cardioversion (unsynchronized)

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6
Q

Torsades tx

A

Antiarrhythmics or cardioversion (unsynchronized)

plus magnesium

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7
Q

First Degree Heart Block tx

A

12 lead and consult

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8
Q

Second Degree Heart Block tx

A

Treat all symptomatic bradycardia with atropine 0.5 mg

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9
Q

Third Degree Heart Block

A

Treat all symptomatic bradycardia with atropine 0.5 mg

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10
Q

V fib tx

A

Defibrillator, CPR

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11
Q

PEA

A

Any unorganized electrical activity that is not v fib, v tach or asystole

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12
Q

unsynchronized cardioversion

A

a fib

v tach

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13
Q

If pt is in cardiac arrest w/ shockable rhythm (VF or pVT)

A

start CPR, give O2 and attach defib

if rhythm shockable→ shock then CPR 2 min, IV/IO access→
shock → CPR 2 min → epi q3-5 min →
shock → CPR 2 min → amiodarone

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14
Q

If pt is in cardiac arrest w/ NO shockable rhythm (asystole or PEA)

A

start CPR, give O2 and attach defib

if rhythm NOT shockable→ CPR 2 min, IV/IO access →
epi q3-5 min →
consider adv airway →
CPR 2 min and repeat

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15
Q

What indicates ROSC?

A

pulse and BP

abrupt sustained inc in PETCO2

spontaneous arterial pressure waves with intra-arterial monitoring

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16
Q

What are reversible causes of cardiac arrest?

A

hypovolemia

hypoxia

hydrogen ion (acidosis)

hypo/hyperkalemia

hypothermia

tension pmneumo

tamponade, cardiac

toxins

thrombosis, pulmonary or coronary

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17
Q

Pt is in cardiac arrest of VF/VT, what do you do?

A

start cpr, give O2, attach defib

shockable rhythm → shock → cpr 2 min →
shockable rhythm → shock →
CPR 2 min → epi q3-5 min→
shockable rhythm → shock → CPR 2 min → amiodarone and repeat

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18
Q

Epi IV/IO dose for cardiac arrest

A

1mg q3-5 min

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19
Q

Amiodarone IV/IO dose for cardiac arrest

A

first dose: 300 mg bolus

second dose: 150 mg

20
Q

Pt is in cardiac arrest of asystole/PEA, what do you do?

A

start cpr, give O2, attach defib

non-shockable rhythm → CPR 2 min, IV/IO access →
epi q3-5 min→
consider adv airway→

non-shockable → CPR 2 min and repeat

21
Q

Pt ROSC what do you do?

A

maintain O2 dat, consider adv airway

treat hypotension <90 via IV/IO bolus, or vasopressor infusion→

12 lead ekg (if STEMI then reperfuse) → if can follow commands → adv critical care

if NOT → initiate targeted temp mgmt

22
Q

IV bolus for post cardiac care hypotension

A

1-2 L NS or LR

23
Q

epi IV dose for ROSC

A

0.1-0.5 mcg/kg/min

70-35 mcg in 70 kg adult

24
Q

dopamine IV dose for ROSC

A

5-10 mcg/kg/min

25
Q

norepinephrine IV dose for ROSC

A

0.1-0.5 mcg/kg/min

70-35 mcg in 70 kg adult

26
Q

If stable brady arrhythmia <50 bpm w/ pulse what is tx

A

monitor and observe

27
Q

What makes pt unstable?

A

hypotension

acutely altered mental status

signs of shock

ischemic chest discomfort

acute heart failure

28
Q

If unstable brady arrhythmia <50 bpm w/ pulse what is tx

A

Atropine

If uneffective → transcutaneous pacing or

dopamine infusion

or epi infusion

Consider: expert consult or transvenous pacing

29
Q

atropine IV dose for brady arrhythmia

A

first dose: 0.5 mg bolus q3-5 min

MAX 3 mg

30
Q

Dopamine IV dose for brady arrhythmia

A

2-20 mcg/kg/min

titrate pt response taper slowly

31
Q

Epinephrine IV dose for brady arrhythmia

A

2-10 mcg/min

titrate pt response taper slowly

32
Q

Unstable tachy arrhythmia w/ pulse

A

synchronized cardioversion

consider sedation

if narrow complex consider adenosine

33
Q

Synchronized cardioversion doses

A

narrow and reg: 50-100
Wide and reg: 100

Narrow and irreg biphasic: 120-200
Narrow and irreg monophasic: 200

Wide and irreg: defibrillation

34
Q

Stable tachy arrhythmia w/ pulse and wide QRS

A

IV access, 12 lead EKG

Consider adenosine if regular and monophasic

consider antiarrhythmic

consider expert consult

35
Q

Stable tachy arrhythmia w/ pulse and narrow QRS

A

IV access, 12 lead

vagal maneuvers

adenosine (IF REGULAR)

beta blocker or calcium channel blocker

consider expert consult

36
Q

Adenosine IV dose for tachy arrhythmia

A

first dose 6 mg rapid IV push

follow w/ NS flush

second dose 12 mg

37
Q

Amiodarone IV dose for tachy arrhythmia stable w/ wide QRS

A

first does 150 mg over 10 min
repeat as needed if VT recurs

follow by maintenance of 1 mg/min for first 6 hrs

38
Q

Narrow and reg rhythms

A

SVT and A flutter

39
Q

Narrow and irregular

A

A fib

40
Q

Wide and regular

A

SVT and V tach

41
Q

Wide and irregular

A

Wide a fib

polymorphic v tach and monomorphic v tach

42
Q

Tachy Narrow and reg rhythms (SVT or A flutter) tx

A

vagal

adenosine 6 mg then 12 mg

43
Q

Tachy Narrow and irregular (a fib) tx

A

vagal

calcium channel blockers or beta blockers

44
Q

Tachy Wide and regular

A

if SVT adeonsine

If Vtach amiodarone

45
Q

Tachy Wide and irregular

A

Amiodarone 150 mg over 10 min

If polymorphic torsades add magnesium

ACLS (1 decks)

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