MC - 2 - Bradycardia - Adult Flashcards

1
Q

If a patient is experiencing a HR of under ____, it is considered bradycardia by the W/SC EMSS.

A. 40 BPM
B. 50 BPM
C. 60 BPM
D. 70 BPM

A

B. 50 BPM

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2
Q

All bradycardic patients, regardless of being symptomatic or not, (should/should not) have a 12-lead ECG performed.

A

Should

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3
Q

What are the signs/symptoms of symptomatic bradycardia?

A
  • HypoTN/Shock
  • AMS
  • Ischemic chest pain
  • New/worsening CHF
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4
Q

In the presence of STEMI, high grade (_____) HB, or heart transplant, what is the management option for symptomatic adult bradycardia?

A. Chest compressions
B. Transcutaneous pacing
C. Dopamine

A

B. TCP

Dopamine is only utilized if TCP is ineffective.

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5
Q

What sedation options are available for adult TCP?

A
  • Midazolam
  • Lorazepam
  • Ketamine
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6
Q

What is the dopamine dose for patients between 50-74 Kilograms?

A. 250 mcg/min
B. 450 mcg/min
C. 375 mcg/min

***look up what the dose is in gets per minute from this chart

A

A. 250 mcg/min

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7
Q

What is the dopamine dose for patients 75-90 Kilograms?

A. 250 mcg/min
B. 375 mcg/min
C. 450 mcg/min

A

B. 375 mcg/min

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8
Q

What is the dopamine dose for patients over 90 Kilograms?

A. 450 mcg/min
B. 375 mcg/min
C. 250 mcg/min

A

A. 450 mcg/min

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9
Q

What is the dopamine dose for geriatric patients?

A. 250 mcg/ min
B. 375 mcg/min
C. 450 mcg/min

A

A. 250 mcg/min

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10
Q

What is the Ketamine IM dose for patients between 50-74 Kilograms?

A

150-300 mg

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11
Q

What is the Ketamine IM dose for patients 75-90 Kilograms?

A

200-400 mg

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12
Q

What is the Ketamine IM dose for patients over 90 Kilograms?

A

250-500 mg

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13
Q

What is the Ketamine dose for geriatric patients?

A

Medical control contact required

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14
Q

What is the Ketamine IV dose for patients between 50-74 Kilograms?

A

75-150 mg

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15
Q

What is the Ketamine IV dose for patients between 75-90 Kilograms?

A

100-200 mg

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16
Q

What is the Ketamine IV dose for geriatric patients?

A

Medical control contact required

17
Q

If TCP is ineffective in the symptomatic bradycardia patient, what may be utilized next?

A

Dopamine

18
Q

Patients without STEMI, high grade AV block, or heart transplant may be given _____ to treat bradycardia.

A. 6 mcg/kg/min dopamine drip
B. 0.5 mg atropine IV repeated x1
C. 0.1 mg/kg 1:10,000 IV Epinephrine

A

B. 0.5 mg atropine IV repeated x1