midterm Flashcards
treatment: symptomatic sinus brady junctional 1st degree 2nd degree type 1
atropine 0.5mg every 3-5 max of 3mg
TCP with midazolam 0.5-2.5mg
dopamine 5-20 mcg/kg/min
epi 2-10 2-10 mcg/min
treatment:
SVT
PSVT
junctional tach
vagal maneuvers
(if unstable) synchronized cardiovert 50-100J
midazolam 0.5-2.5mg if cardioverting
(if stable) adenosine 6mg-repeat at 12mg
consider
cartizem .25mg/kg repeat in 15 at .35mg/kg
treatment:
symptomatic A Fib
A flutter with RVR
cardizem .25mg/kg repeat at .35mg/kg
syncronized cardiovert
treatment:
Asystole
PEA
CPR
epi 1mg 1:10000 every pulse check (2 minutes)
sodium bicarb
treatment:
PVC-non symptomatic
no treatment
treatment:
PVC-symptomatic or >5 per minute
lidocaine 1.5mg/kg every 3-5 at .75mg/kg max 3mg/kg
if successful-lidocaine infusion 1-4 mg/min
avoid treating bigeminy/trigemini
treatment:
2nd degree type 2
3rd degree
(same as other blocks minus atropine)
TCP with midazolam 0.5-2.5mg
dopamine 5-20 mcg/kg/min
epi 2-10 mcg/min
treatment:
stable or wide complex V tach with a pulse
stable-lidocaine 1.5mg/kg every 3-5 at .75 max 3mg/kg unstable-cardiovert 50,100,150,200,300,360 with miazolam 0.5-2.5mg
treatment:
polymorhpic VT
torsades des pointes
mag sulfate 25-50mg/kg max of 2g
TCP
Lidocaine 1.5mg/kg every 3-5 at .75mg/kg max 3mg/kg
cardiovert 50,100,150,200,300,360
treatment:
sinus tach
PAC
treat underlying
treatment:
accelerated junctional
seldom treated
treatment:
sinus arrest
pacemaker
treatment:
pulseless V tach/Vfib
witnessed-defib 200J not witnessed-2 minutes cpr then defib epi 1mg 1:10000 cpr/pulse check/defib antidysrythmIc (amio or lido) amio 300 mg/lido 1.5 cpr/pulse check/defib epi cpr/pulse check/defib amio 150 or lido .75 cpr/pulse check/defib epi cpr/pulse check/defib (out of amio or lido .75) mag sulfate 1-2 g in 100cc bag over 5-10 cpr/pulse check/defib consider sodium bicarb 1meq/kg if rosc initiate fifth protocol
Hs and Ts
H’s
Hypovolemia Hypoxia Hydrogen ion excess (acidosis) Hypoglycemia Hypokalemia Hyperkalemia Hypothermia
Hs and Ts
T’s
Tension pneumothorax Tamponade – Cardiac Toxins Thrombosis (pulmonary embolus) Thrombosis (myocardial infarction)
epi dose:
bolus and infusion
1mg 1:10000
2-10 mcg/min
atropine dose:
0.5 mg every 3-5 max 3mg
dopamine dose:
5-20 mcg/kg/min
adenosine dose:
6mg repeat at 12mg
cardizem dose:
.25mg/kg over 2 minutes repeat in 15 at .35mg/kg
sodium bicarb dose:
1meq/kg
midazolam/versed dose:
(RSI)
dont give to: shock, coma,
ETOH, overdose, depressed vital signs
0.5-2.5 mg max 0.1mg/kg
mag sulfate dose:
25-50 mg/kg max of 2G
albuterol dose:
2.5 mg with 2.5 ml NaCl Nebulized max dose of 2
Tx’s
aspirin dose:
160 mg- 325 mg PO
calcium chloride dose:
give to:
Hypocalcemia, Hyperkalemia, Hypomagnesemia, beta
blocker and calcium channel blocker toxicity
dont give to:
Hypercalcemia, VF (relative), digitalis toxicity
500 mg- 1000 mg
dextrose dose:
25G D50
valium/diazepam dose:
sedation
5mg
etomidate dose:
RSI
0.2-0.6 mg/kg
fentanyl dose:
anesthesia adjunct
1 mcg/kg
atrovent dose:
250-500 mcg max of 3 tx’s
ketamine dose:
procedural sedation
1-2 mg/kg
morphine dose:
2-4 mg may repeat 2-8 mg max of 10mg
naloxone dose:
0.4-2mg
nitro dose:
CP
0.4 mg every 3-5 max 3 doses
succinylcholine dose:
RSI
1-2 mg/kg repeat in 5 for adolescents and adults only
vecuronium dose:
RSI
0.1-0.2 mg/kg
