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ACP - Directives > Medical Cardiac Arrest > Flashcards

Medical Cardiac Arrest Flashcards

1
Q

EPINEPHRINE 1:10,000 (0.1mg/1mL)
Dosing ≥ 12 - Route IV / IO / CVAD
Dose?
Min. Single Dose?
Interval?
Max # of Doses?

A

Dose: 1mg
Min. Single Dose: 1mg
Dosing Interval: 4 mins
Max # of Doses: N/A

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2
Q

EPINEPHRINE 1:10,000 (0.1mg/1mL)
Dosing ≥ 30 Days to <12 years - Route IV / IO / CVAD
Dose?
Min. Single Dose?
Interval?
Max # of Doses?

A

Dose: 0.01mg/kg
Min. Single Dose: 0.1mg
Dosing Interval: 4mins
Max # of Doses: N/A

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3
Q

EPINEPHRINE 1:10,000 (1mg/1ml)
Dosing ≥ 12 - Route E.T.T.
Dose?
Min. Single Dose?
Interval?
Max # of Doses?

A

Dose: 2mg
Min. Single Dose: 2mg
Dosing Interval: 4 mins
Max # of Doses: N/A

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4
Q

EPINEPHRINE 1:1,000 (1mg/1mL)
Dosing ≥ 30 Days to <12 years - Route E.T.T.
Dose?
Max Single Dose?
Min. Single Dose?
Interval?
Max # of Doses?

A

Dose: 0.1mg/kg
Max. Single Dose: 2mg
Min. Single Dose: 1mg
Dosing Interval: 4 mins
Max # of Doses: N/A

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5
Q

AMIODARONE - conditions
AGE?
LOA?
Other?

A

Age: ≥ 30 days
LOA: Altered
Other: VF or Pulseless VT

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6
Q

AMIODARONE -
Dosing ≥ 30 Days to <12 years - Route IV / IO / CVAD
Initial Dose?
Max. Initial Dose?
Subsequent Doses?
Max Repeat Dose?
Dosing Interval?
Max # of Doses?

A

Initial Dose: 5mg/kg
Max. Initial Dose: 300mg
Subsequent Doses: 5mg/kg
Max Repeat Dose: 150mg
Dosing Interval: 4mins
Max # of Doses: 2

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7
Q

AMIODARONE
Dosing ≥ 12 Years - Route IV / IO / CVAD
Initial Dose?
Max. Initial dose?
Subsequent Doses?
Max. Repeat Dose?
Dosing Interval?
Max # of Doses?

A

Initial Dose: 300mg
Max. Initial Dose: 300mg
Subsequent Doses: 150mg
Max Repeat Dose: 150mg
Dosing Interval: 4mins
Max # of Doses: 2

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8
Q

LIDOCAINE - conditions
Age?
LOA?
Other?

A

Age: ≥ 30 days
LOA: Altered
Other: VF or pulseless VT where amiodarone is not available

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9
Q

LIDOCAINE - Contraindications?

A

Allergy or sensitivity
Use / Availability of amiodarone

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10
Q

LIDOCAINE -
Dosing ≥ 30 Days to <12 years - Route IV / IO / CVAD
Dose?
Min Single Dose?
Dosing Interval?
Max # of Doses?

A

Dose:1mg/kg
Min Single Dose:N/A
Dosing Interval: 4mins
Max # of Doses: 2

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11
Q

LIDOCAINE -
Dosing ≥ 30 Days to <12 years - Route E.T.T.
Dose?
Min Single Dose?
Dosing Interval?
Max # of Doses?

A

Dose:2mg/kg
Min Single Dose:N/A
Dosing Interval: 4mins
Max # of Doses: 2

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12
Q

LIDOCAINE -
Dosing ≥12 years - Route IV / IO / CVAD
Dose?
Min Single Dose?
Dosing Interval?
Max # of Doses?

A

Dose: 1.5mg/kg
Min Single Dose: N/A
Dosing Interval: 4mins
Max # of Doses: 2

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13
Q

LIDOCAINE -
Dosing ≥12 years - Route E.T.T.
Dose?
Min Single Dose?
Dosing Interval?
Max # of Doses?

A

Dose: 3mg/kg
Min Single Dose: N/A
Dosing Interval: 4mins
Max # of Doses: 2

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14
Q

Epinephrine 1:1,000 (1mg/1ml) - Anaphylaxis
Conditions
Route
Dose
Max. Single Dose
Dosing Interval
Max # of Doses

patient in cardiac arrest

A

Conditions: ≥ 30 days, Altered, Anaphylaxis suspected as causative event, IM Route may be used
Route: IM
Dose: 0.01mg/kg round to nearest 0.05mg
Max. Single Dose: 0.5mg
Dosing Interval: N/A
Max # of Doses: 1

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15
Q

Joule Settings
≥ 30 Days to <8 years
Initial Dose?
Subsequent Dose?
Dosing Interval?
Max # of Doses?

A

Initial Dose: 2J / Kg
Subsequent Dose: 4J / Kg
Dosing Interval: 2 mins
Max # of Doses: N/A

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16
Q

Joule Settings
≥ 8 years
Initial Dose?
Subsequent Dose(s)?
Dosing Interval?
Max # of Doses?

A

Initial Dose: 120J
Subsequent Dose: 150J, 200J
Dosing Interval: 2mins
Max # of Doses: N/A

17
Q

0.9% NaCl Fluid Bolus - Indications
Age?
LOA?
Other?

Cardiac arrest

A

Age: ≥ 30 days
LOA: Altered
Other: Pulseless Electrical Activity
or any other rhythm where hypovolemia is suspected

18
Q

0.9% NaCl Fluid Bolus - Contraindications

Cardiac Arrest

A

Fluid Overload

19
Q

0.9% NaCl Fluid Bolus
≥30 days to <12 years
Route - IV / IO / CVAD
Infusion?
Infusion Interval?
Reasses?
Max. Volume?

A

Infusion: 20ml / Kg
Infusion Interval: Immediate
Reasses: 100ml
Max. Volume: 2,000ml

20
Q

0.9% NaCl Fluid Bolus
≥12 years
Route - IV / IO / CVAD
Infusion?
Infusion Interval?
Reasses?
Max. Volume?

A

Infusion: 20ml / kg
Infusion Interval: Immediate
Reasses: 250ml
Max. Volume: 2,000ml

21
Q

Medical Cardiac Arrest - Mandatory Patch Point (when?)
If patch fails?

A

BHP after 3 rounds of epinephrine OR if no IV/IO/CVAD/ETT access after 3rd analysis

Patch Fails: Transport - after 4th epinephrine or 4th analysis if no access

22
Q

When is transport considered after 1st anaylsis?

A
  1. Pregnancy ≥ 20 weeks
  2. Hypothermia
  3. Airway Obstruction (unless able to clear)
  4. Suspected Pulmonary Embolism
  5. Medication Overdose / Toxicology
  6. Other known reversible cause of arrest not addressed
23
Q

When are Antiarrhythmics to be administrated?

A

Vfib and Vtach that is refractory or recurrent following defibrillation.

is indicated following the shock if the patient had been previously defibrillated or following a second defibrillation if none delivered previously.

24
Q

If delayed more than **____ ** minutes for IV or IO access the ETT may be used for medication administration.

A

Delayed more than 5 Minutes

IV and IO are preferred sites

ACP - Directives (24 decks)

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