Interventions Flashcards
Amiodarone Dose
Loading dose of 5 mg/kg (max 300mg)
Repeat dose of 5 mg/kg to a max 15 mg/kg as needed
Adenosine Dose
0.1mg/kg (max 6 mg/kg) as a rapid IV bolus
Second dose is 0.2 mg/kg (max 12 mg)
Cardioversion
Indications
Unstable SVT
atrial Flutter
VT with a pulse
Atropine Dose
0.02 mg/kg
May repeat once
Minimum dose 0.1 mg and Max dose is 0.5 mg
Lidocaine Dose
Initial: 1 mg/kg
Maintance: 20-50 mcg/kg
Tachycardia With a Pulse and Poor Perfusion
First Steps
Evulate QRS Duration (Narrow is <0.09 and Wide is >0.09)
Tachycardia With a Pulse and Poor Perfusion
Supraventricular Tachycardia
Compatible history that is vague and nonpsecific
P waves are absent/abnormal
Infants >220
Children >180
Cardiac Arrest Alorigthm
What rhythms are shockable
VF
Pulseless VT
Tachycardia With a Pulse and Poor Perfusion
Sinus Tachycardia
Treatment
Search and treat causes
Tachycardia With a Pulse and Poor Perfusion
Sinus Tachycardia
Compatible history with a known cause
P waves are present and normal
R-R is consistent
Infants <220
Children <180
Tachycardia With a Pulse and Poor Perfusion
Supraventricular Tachycardia
Treatment
Consider Vagal Manoevuers
Adenosine
If adenosine is not working then consider cardioversion
Cardioversion
Energy Dose
Start with 0.5-1 J/kJ for cardioversion then increase to 2J/kg
Cardiac Arrest Alorigthm
What do you do after the shock
After the 1st shock: Get access, do CPR for 2 min and then reassess
After the 2nd shock: Give Epinephrine, then CPR for 2 min then reassess
After the 3rd shock: Give aminodarone or lidocaine, think of reversible causes, then CPR for 2 min then reassess and start over
Tachycardia With a Pulse and Poor Perfusion
Ventricular Tachycardia Treatment when there is not cardiopulmonary Compromise
Consider adenosine if rhythm is regular and QRS is monomorphic
Expert consultation and can consider aminodarone and procainamide
Mild COPD Pharmacology
Begin with SABD prn
If there is still persistenet dyspnea then continue onto
LAAC + SABD prn
OR
LABA + SABD prn
Severe COPD Pharmacology
Severe COPD= Frequent AECOPD (> 1/year)
Begin with LAAC + ICS/LABA + SABA prn
If persistent dyspnea move onto
LAAC + ICS/LABA + SABA prn +/- Theophylline
Moderate COPD Pharmacology
Moderate COPD=Infrequent AECOPD (<1/year)
Begin with LAAC or LABA + SABA prn
If persistent dyspnea move onto
LAAC + ICS/LABA + SABA prn
Long Acting Muscarinic Antagonist (LAMA)
Spiriva® (Tiotropium)
Tudorza® (Aclidinium Bromide)
Seebri® (Glycopyronnium Bromide)
Incruse® (Umeclidinium) *Not on the market yet
Tiotropium
Spirivia
Hanihaler and Respimat
Aclidinium Bromide
Turdorza
LAMA
Device-Genuair
Glycopyronnium Bromide
Seebri
LAMA
Breezhaler
Umeclidinium
Incruse
LAMA
Oxeze
Formeoterol
LABA
Salmetrol
Serevent
LABA
Indacaterol
LABA
Onbrez
*only use for COPD not asthma
Breezhaler
Oldaterol
LABA
Streverdi
Salbutamol
Ventolin
SABD
Terbutalie
Bricanyl
SABD
Atrovent
Iprtropium
SABD
Combivent
Salbutamol/Iprtropium
SABD
Ultibro
Glycopyronnium/Indacaterol
LAMA/LABA
Anoro
Umeclidinium/Vilanterol
LAMA/LABA
Breo
ICS/LABA
Fluticasone Furoate/Vilanterol
Advair
ICS/LABA
Fluticasone Proprionate/Salmeterol
Advair
ICS/LABA
Fluticasone Proprionate/Salmeterol
Symbicort
ICS/LABA
Budesonide/Formoterol
