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Paramedic II - Spring 2013 - Valencia > Medic ACLS > Flashcards

Medic ACLS Flashcards

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1
Q

Normal Sinus Rhythm

A 
Rate: 60-100
Rhythm: Regular
P Wave: Before each QRS
               Upright and uniform
PRI: 0.12-0.20
QRS: <0.12, alike
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2
Q

Epinephrine (infusion)

A 
Dose (Brady): 1-10 mcg/min
   (Post-arrest) 0.1-0.5mcg/kg/min
Supply: 1:10,000
Mix:1 mg/ 250ml (4:1) 
       2 mg/ 250ml (8:1)
Hint: Clock method
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3
Q

Sinus Bradycardia

A

1) <0.12, alike

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4
Q

Sinus Tachycardia

A

1) 100-150
2) regular
3) before each QRS, upright
4) 0.12-0.20
5) <0.12, alike

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5
Q

Atrial Flutter

A

1) a-240-350, v-variable
2) regular
3) no p waves, f waves are present
(Sawtooth or picket fence)
4) n/a
5) <0.12, alike

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6
Q

Atrial fibrillation

A

1) a-350-700, v-variable
2) irregularly irregular
3) no p waves, f waves
4) n/a
5) <0.12, alike
(Any irregular narrow QRS rhythm is a-fib unless p-waves present)

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7
Q

Premature Atrial Complexes (PAC)

A

1) Usually Normal (underlying rhythm)
2) Regular mostly (except PAC)
3) Differs in shape, size and location
5) variable
5) similar, <0.12

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8
Q

Sinus Dysrhythmia

A

1) 50-100, frequently + inspiration,-expiration
2) Irregular (more than 0.08 variance)
3) Before each QRS, upright
4) 0.12- 0.20
5) Alike, <0.12

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9
Q

Sinus Arrest

A

1) Variable
2) Irregular
3) Present and upright if QRS is present
4) 0.12 - 0.20
5) Alike, 0.12-0.20

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10
Q

Normal Sinus Rhythm

A

1) 60-100
2) Regular
3) Before each QRS, Upright
4) 0.12 - 0.20
5) alike, <0.12

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11
Q

Superventricular Tachycardia

A

1) 160-240
2) Regular
3) Non-discernable
4) Non-discernable
5) alike, <0.12

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12
Q

Wandering Pacemaker

A

1) 60-100
2) May be slightly irregular
3) change in shape, size and location, but present
4) variable
5) yes, usually <0.12

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13
Q

Multifocal Atrial Tachycardia

A

1) >100
2) Irregular
3) At least 3 different forms
4) variable
5) variable

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14
Q

Procainamide Stop Points

A

1) Arrhythmia suppressed
2) Hypotension
3) QRS widens by >50%
4) Max dose 17mg/kg reached

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15
Q

Tachycardia Algorithm (unstable)

A 
HR > 150 w/pulse
ALS
Sypmtomatic - Yes
Sedation (ativan, versed)
Syncronized Cardioversion SVT,Aflutter=50,all others 100,200,300,360
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16
Q

Tachycardia Algorithm (stable, wide QRS)

A 
HR >150 w/pulse
ALS
Symptomatic - NO
QRS - wide
Consider Adenosine (6mg, 12mg, 20ml flush)
    or
Procainamide (20-50 mg/min)
    or
Amioderone (150mg,300mg/10min)]
   or
Sotalol (100mg/5min)
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17
Q

Tachycardia Algorithm (stable, narrow QRS)

A 
HR >150 w/pulse
ALS
Symptomatic - NO
QRS - Narrow
Vagal Maneuvers
Adenosine (6mg, 12mg, 20ml flush)
    or
Beta Blocker
   or
Calcium Channel Blocker 
    Cardizem (15-20mg/kg/2min = .25mg/kg
                    20-25mg/kg/2min = .35mg/kg)
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18
Q

Premature Junctional Complex (PJC)

A

1) Underlying Rhythm
2) Usually Regular except for PJC
3) Missing or inverted with PJC
4) 0.12-0.20
5) <0.12

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19
Q

Accelerated Junctional Rhythm

A

1) 60 - 100
2) Regular
3) Inverted/absent/retro
4) <0.12

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20
Q

Junctional Rhythm

A

1) 40-60
2) Regular
3) Absent/inverted,retro
4) None, short, retro
5) <0.12

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21
Q

Junctional Beat

A

1) underlying rhythm
2) Irregular when beat occurs
3) absent/inverted/retro in excape beat
4) None, short, retro
5) <0.12

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22
Q

Junctional Tachycardia

A

1) 100-180
2) Regular
3) Absent/inverted/retro
4) None, short, retro
5) <0.12

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23
Q

3rd degree block

A

1) 60-10
2) Regular
3) Extra - do not match QRS
4) inconsistent
5) normal
(consistent p-p and r-4, not same)

24
Q

2nd Degree Type II (Mobitz II)

A

1) 60-100
2) Regular
3) Extra p waves
4) Consistently long
5) Present, <0.12

25
Q

2nd degree type I (Mobitz I) (Wenckebach)

A

1) 60-100
2) Irregularly Irregular
3) Extra P-waves
4) Insonsistent
5) <0.12

26
Q

1st degree block

A

1) 60-100
2) Regular
3) Before each QRS
4) >0.20
5) <0.12

27
Q

Brdycardia Algorithm

A 
HR<50
ALS
Symptomatic? No = Monitor
Yes
Atropine (0.5mg q 3-5min, max 3mg)
   ineffective
Transcutaneous Pacing 
   or
Dopamine (2-20 mcg/kg/min)
   or
Epinephrine (2-10 mcg/min
28
Q

Epinephrine 1:1000

A

Dose: 0.3mg IV/IM
Supply: 1:1,000 (1mg/mL)
Indication: Allergic Reaction, Difficulty Breathing

29
Q

Glucagon

A

Dosage: 1mg IM
Supply: 1 mg/1 ml
Indication: Hypoglycemia

Dosage: 3mg IV
Supply: 1mg/1ml
Indication: Reverse Beta Blocker Overdose

30
Q

Morphine

A

Dosage: 1.0-10.0 mg IV w/o orders
Supply: 10mg/ml
Indications: extreme pain

Dosage: 1-2 mg/ 6-10min IV
Supply: 10mg/ml
Indications: Reduce venous return in AMI or PE

31
Q

Sodium Bicarbonate

A

Dose: 1 mEq/kg IV
Supply: 50 mEq/50mL
Indications: TAD overdose, acidosis, hyperkalemia, long downtime

32
Q

Haloperidol

A

Dose: 5mg < 60khg > 10mg IV/IM
Supply: 5mg/ 1ml
Indications: Acute psychotic disorders

33
Q

Diazepam

A

Dose: 10mg 5mg IV/IM
Supply: 10mg/ 2ml
Indications: Stop seizure activity
(Valium)

34
Q

Midazolam

A 
Dose: 1mg/min  0.5mg/min
Max:  5mg  3mg IV
Supply: 5mg/ 5ml
Indications: induce sedation/amnesia for cardioversion
(versed)
35
Q

Lorazepam

A 
Dose: 1mg IV/IM
Max: 2mg
Supply: 1mg/ 1ml
Indications: induce sedation for cardioversion
(Ativan)
36
Q

D-50

A

Dose: 25mg IV
Supply: 25mg/ 50mL
Indications: Hypoglycemia

37
Q

Salvos

A

Series of 3 or more PVC’s

38
Q

Ventricular Fibrillation (VFib)

A

1) Indeterminate
2) Chaotic
3) None
4) None
5) None

39
Q

Idioventricular rhythm

A

1) 20-40
2) Regular
3) None
4) None
5) Wide, Bizarre appearance

40
Q

Accelerated Idioventricular Rhythm

A

1) 41-100
2) Regular
3) None
4) None
5) Wide, bizarre appearance

41
Q

Premature Ventricular Contraction (PVC)

A

1) Underlying Rhythm
2) Irregular when PVC occurs
3) None associated with PVC
4) None associated with PVC
5) Wide, bizarre appearance

42
Q

Ventricular Bigeminy

A

PVC every 2nd beat

43
Q

Ventricular Trigeminy

A

PVC every 3rd beat

44
Q

Venticular Quadrigeminy

A

PVC every 4th beat

45
Q

Couplets

A

Paired PVC’s

46
Q

Torsades de Pointes

A

1) >100
2) Irregular
3) None
4) None
5) Wide, Polymorphic

47
Q

Magnesium Sulphate

A

Dose: 2G/ 100ml/ 10min
Supply: 5G/10ml
Indications: Respiratory distress

Dose: 1-2 G IV q .5-1g/hr
Supply: 5G/10ml
Indications Torsades de pointes

48
Q

Naloxone

A 
Dose: >65yo = 2mg, .4mg
          <65yo = .4mg
Max: 8mg
Supply: 2mg/ 2ml
Indications: respiratory depression due to OD of opiate, narcotic
49
Q

Lasix

A

Dose: 1mg/kg
Supply: 100mg/10ml
Indications: acute pulmonary edema/ CHF

50
Q

Albuterol

A

Dose: 2.5mg in 3.0ml NS via nebulizer
Supply: 2mg/3ml
Indications: Bronchospasm

51
Q

Atrovent

A

Dose: 0.5mg/2ml via nebulizer
Supply: .5mg/2ml
Indications: bronchospasm

52
Q

Nitroglycerin

A

Dosage: 0.4mg SL
Max: 3 doses or BP<90
Supply: 0.5mg tabs, spray
Indications: Chest pain associated with MI

53
Q

Atropine

A

Dosage: 0.5mg IV
Max: 3mg or 0.04 mg/kg
Supply: 1mg/10ml
Indications: Brdycardia

Dose: 2-4 mg or higher
Indications: Organophosphate poisoning

54
Q

Dopamine

A

Dose: 2-20 mcg/kg/min
Start at 5mcg/kg/min
Supply: 400mg/250ml or 800mg/500mll
Indications: Bradycardia

2mcg = Dopamanergic
5mcg = Beta 1
5-10 mcg = Alpha and Beta
10-20 mcg = Alpha

55
Q

Adenosine

A

Dose: 6mg iv/ 12 mg IV followed by 20 ml NS
Supply: 6mg/2ml or 12mg/4ml
Indications: Tachycardia

56
Q

Amioderone

A

Dose: 150mg/10min - 300mg
Supply: 150/3ml
Indications: Wide QRS Tachycardia

57
Q

Cardizem

A

Dose: .25mg/kg/min (15-20mg/2min)
.35mg/kg/min (20-25mg/2min)
Supply: 25mg/5ml
Indications: narrow QRS tachycardia

Paramedic II - Spring 2013 - Valencia (4 decks)

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