Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Medic > paramedic_20211015160859 > Flashcards

paramedic_20211015160859 Flashcards

1
Q

Cushing’s triad

A

raised intracranial pressure (raised blood pressure, lowered pulse and altered respirations)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

One of nine abdominal regions, located in the upper part of the abdomen, inferior to the lowest ribs of the thorax

A

hyochondriac region

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A space located between the arachnoid membrane and the piamater.

A

subarachnoid space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

A class of drugs that target beta cells, thus reducing the sympathetic response which, in turn, can help reduce hypertension and cardiac arrhythmias.

A

beta-blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A class of drugs that reduces the movement of calcium through calcium channels, thereby reducing hypertension and heart rate.

A

calcium-channel blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Cardiac output equation

A

CO = SV x BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Inadequate tissue perfusion to the cardiac muscle due to the hearts inability to function properly, thereby causing an inadequate pumping mechanism, resulting in multi-system shock and multi-organ failure.

A

cardiogenic shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

movement in cell’s membrane, allowing more positive or negative agents through it, thus allowing it to discharge creating a cellular rxn

A

depolarization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

A group of myocytes that are responsible for conducting cardiac impulses across a large area of myocardium, thereby creating and propagating synchronous contractions of the myocardium.

A

purkinje cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A move, following de-polarisation, where the membranepotential returns to a re

A

repolarization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Heart strings (tendons) that connect the papillary muscles to the mitral valve in the heart.

A

Chordae tendinae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

diastole

A

the pressure w/in the aorta during the relax period following systole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

decreased bodily movement

A

hypokinesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Also called intrapleaural pressure; the pressure within the thoracic cavity.

A

intrathoracic pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

thromboembolic

A

blood vessel being blocked by a clot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

An accumulation of fluid in the peritoneal cavity, most commonly as the result of severe liver disease.

A

ascites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

fossa

A

a hollow or depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Two sheets of peritoneum, containing vessels and nerves, which reflect off the posterior abdominal wall to suspend the jejunum and ileum

A

mesentery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

A low, slightly curved, abdominal incision made to gain access to the pelvic organs. Commonly used for Caesarian section deliveries or hernia repair

A

Pfannestiel inscision

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

An area where blood vessels and nerves enter or leave an organ.

A

hilum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

eupnea

A

normal breathing rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

surgical emphysema

A

the presence of gas in subcutaneous soft tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

cachexia

A

weight loss and deterioration in physical condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

ruched

A

Visible pleating/folding of tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
vital capacity
Amount of air that can be forcefully expelled from the lungs after maximal inspiration.
26
Macroglossia
over-sized protruding tongue
27
microgenia
abnormally small chin
28
A test used to recognise if a paramedic or medical professional has breached a duty of care.
bolam test
29

Name

Rhythm

Rate

P wave

PRI

QRS

Normal sinus

Regular

60-100bpm

Uniform, P-QRS

0.12-0.2 s

< 0.12 s

30

Name

Rhythm

Rate

P wave

PRI

QRS

sinus arrhythmia

Various, changes w/ respirations

60-100 bpm, can be slower

uniform, P-QRS

0.12-0.2 s

< 0.12 s

31

Name

Rhythm

Rate

P wave

PRI

QRS

sinus block

regular

60-100 

upright

0.12-0.2

<0.12

32

Name

Rhythm

Rate

P wave

PRI

QRS

sinus pause

irregular

60-100 but can be slower

upright

0.12-0.2

<0.12

33

Name

Rhythm

Rate

P wave

PRI

QRS

sick sinus syndrome

irregular

variable

upright

0.12-0.2

< 0.12

34

Name

Rhythm

Rate

P wave

PRI

QRS

Wandering Atrial Pacemaker

irregular

60-100

variable

variable

< 0.12 s

 

35

Name

Rhythm

Rate

P wave

PRI

QRS

Multifocal atrial tachycardia

irregular

< 100

variable

variable

variable

 

36

Name

Rhythm

Rate

P wave

PRI

QRS

Premature atrial contractions

Usually regular except for the PAC

Depends on underlying rhythm

P of the PAC will be different, all others will be normal

0.12-20, can be prolonged, and the PRI of the ectopic beat will be different

< 0.12 s

37

Name

Rhythm

Rate

P wave

PRI

QRS

Supraventricular Tachycardia

Regular

150-250

Abnormal P-QRS (difficult)

< 0.20

< 0.12 s

38

Name

Rhythm

Rate

P wave

PRI

QRS

Paroxysmal Supraventricular Tachycardia

Regular

150-250

Abnormal P-QRS (difficult)

< 0.20

< 0.12 s

39

Name

Rhythm

Rate

P wave

PRI

QRS

Atrial flutter

Regular

250-350

sawtooth

Not measureable 

< 0.12 s

40

Name

Rhythm

Rate

P wave

PRI

QRS

Atrial fibrillation

irregular

controlled < 100; uncontrolled >100

none

none

<0.12 s

41
OxygenIndicationsContraindicationsDosageRouteFrequencyMax dose
OxygenIndications: Hypoxia, spO2 ≤ 94%, ↓perfusion, ↑WOBContraindications: SpO2 ≥94%, precaution w/ COPD ptsDosage: Low flow = 2-10 LPM; high flow = 10-15+ LPMRoute: InhaledFrequency: Continuous delivery until resolution of s/s; SpO2 ≥ 94%; Max Dose: Usually never past 15 LPM
42
NitroglycerinIndications:Contraindications: Dosage: Route: Frequency: Max dose:
NitroglycerinIndications: acute angina lector is, ischemic chest pain, HTN, pulmonary edemaContraindications: hypotension, hypovolemia , hemorrhaging, ED meds in last 48 hoursDosage: 0.4 mg Route: SLFrequency: 3-5 minMax dose: 3 doses (1.2 mg)
43
AspirinIndications:Contraindications: Dosage: Route: Frequency: Max dose:
AspirinIndications: chest pain indicative of ACS, platelet aggregation, mild-moderate painContraindications: GI or other bleeding concerns, precaution w/ asthmaDosage: 160-324 mg (4 chewables) Route: POFrequency: q4 hrs for moderate pain; usually just once in the prehospital setting Max dose: 324 mg
44
Oral GlucoseIndications:Contraindications: Dosage: Route: Frequency: Max dose:
Oral GlucoseIndications: hypoglycemiaContraindications: inability to swallow, hyperglycemiaDosage: 1 tube (15-37 g)Route: POFrequency: ~10 minMax dose: pt dependent
45
Epinephrine 1:1000Indications:Contraindications: Dosage: Route: Frequency: Max dose:
Epinephrine 1:1000Indications: anaphylaxis, hypotension, extreme bronchoconstrictionContraindications: relative: hypertension, hypothermia, hypovolemic shock, pulmonary edemaDosage: 0.3-0.5 mgRoute: IM (different dosages IV and IO)Frequency: 3-5 minMax dose: 0.5 mg
46
AlbuterolIndications:Contraindications: Dosage: Route: Frequency: Max dose:
AlbuterolIndications: Allergies, bronchospasmContraindications: precaution: dysrrhythmias, tachycardiaDosage: 2.5 mg/3 mLRoute: nebulized w/ 6-8 LPM O₂ Frequency: 3-4 x/day, pt dependentMax dose: not to exceed 4 doses/day; pt dependent
47
ZofranIndications:Contraindications: Dosage: Route: Frequency: Max dose:
ZofranIndications: Nausea/vomitingContraindications: hypersensitivity Dosage: 4 mgRoute: IV/IMFrequency: 15 minMax dose: 24 mg/day
48
NarcanIndications:Contraindications: Dosage: Route: Frequency: Max dose:
NarcanIndications: opiate O/dContraindications: precaution: can put pts into withdrawalDosage: 2 mgRoute: intranasal via MADFrequency: q2-3 minMax dose: 12 mg, pt dependent
49
Dextrose 50%Indications:Contraindications: Dosage: Route: Frequency: Max dose:
Dextrose 50%Indications: hypoglycemiaContraindications: hyperglycemia, brain bleedsDosage: 25 g = 1 ampRoute: IV/IOFrequency: 3-5 minMax dose: pt dependent, sugar improves
50
GlucagonIndications:Contraindications: Dosage: Route: Frequency: Max dose:
GlucagonIndications: hypoglycemia, smooth muscle relaxant, B-blocker O/DContraindications: none in emergency settingDosage: 1mgRoute: IMFrequency: 5 minMax dose: pt dependent, usually 2 mg
51
Sodium chloride (N.S.)Indications:Contraindications: Dosage: Route: Frequency: Max dose:
Sodium chloride (N.S.)Indications: dehydration, KVO, DKAContraindications: CHF/fluid overloadDosage: 20 ml/kg bolusRoute: IVFrequency: pt dependent Max dose: pt dependent
52
DiphenhydramineIndications:Contraindications: Dosage: Route: Frequency: Max dose:
DiphenhydramineIndications: allergic reactions, EPSContraindications: caution for acute asthma, glaucoma, MAIO useDosage: 25-50 mgRoute: slow IV/IMFrequency: 15 minMax dose: 400 mg/day
53
MethylprednisoneIndications:Contraindications: Dosage: Route: Frequency: Max dose:
MethylprednisoneIndications: anaphylaxis, asthma, COPDContraindications: none in emergency setting; caution w/ diabetics, recent MI, GI bleedingDosage: 125 mgRoute: IV/IOFrequency: Q4 hrMax dose: 750 mg/24 hrs
54
Diazepam (Valium)Indications:Contraindications: Dosage: Route: Frequency: Max dose:
Diazepam (Valium)Indications: status eplepticus, cocaine-induced ACS, agitated/combative pts, anxietyContraindications: AMS from unknown origin, head injury, respiratory insufficiencyDosage: 2.5-5 mgRoute: IV/IOFrequency: 5-10 min, pt dependent Max dose: 10 mg
55
Lorazepam (Ativan)Indications:Contraindications: Dosage: Route: Frequency: Max dose: Counter agent: Counter agent dose:Counter agent max dose:
Lorazepam (Ativan)Indications: status eplepticus, cocaine-induced ACS, agitated/combative pts, anxietyContraindications: AMS from unknown origin, head injury, respiratory insufficiencyDosage: 1-2 mgRoute: IM/IV/IO/INFrequency: 5-10 minMax dose: 8 mgCounter agent: Flumazenil (romazicon)Counter agent dose:0.2 mg- 15 sec0.3 mg 30 sec0.5 mg 30s-1 minMax: 3 mg IV
56
FentanylIndications:Contraindications: Dosage: Route: Frequency: Max dose: Counter agent: Counter agent dose:
FentanylIndications: pain, anesthesia adjunctContraindications: hypotension, TBI, shockDosage: 1 mcg/kgRoute: IVFrequency: 15 minMax dose: 3x (300 mcg example)Counter agent: narcanCounter agent dose: 2mg
57
MorphineIndications:Contraindications: Dosage: Route: Frequency: Max dose: Counter agent: Counter agent dose:
MorphineIndications: pain management, chest discomfort, acute MIContraindications: hypotension, head trauma, multi-system trauma, respiratory depression Dosage: 2.5-5 mgRoute: IV/IMFrequency: q5 minMax dose: 10 mgCounter agent: NarcanCounter agent dose: 2mg
58
Adenosine (Adenocard)Indications:Contraindications: Dosage: Route: Frequency: Max dose:
Adenosine (Adenocard)Indications: Symptomatic stable SVT, chemical cardioverterContraindications: afib, a-flutter, heart blocks, known WPW, polymorphic, irregular, or unstable Vtach, bradycardiaDosage: 6 mg initialRoute: rapid IV push (1-3 sec), followed by 20 mL NS bolusFrequency: repeat dose - 12 mg for no response in 1 minMax dose: 18 mg
59
Epinephrine 1:10,000 (adrenalin)Indications:Contraindications: Dosage: Route: Frequency: Max dose:
Epinephrine 1:10,000 (adrenalin)Indications: cardiac arrestContraindications: pt has a pulseDosage: 1 mg of 0.1 mg/mL (1:10,000)Route: IV/IOFrequency: 3-5 minMax dose: no max
60
Atropine (Atropine sulfate)Indications:Contraindications: Dosage: Route: Frequency: Max dose:
Atropine (Atropine sulfate)Indications: (1)symptomatic sinus bradycardia(2) organophosphate poisoning, nerve agent exposureContraindications: 2ⁿᵈ degree AV blocks (Mobile type II), 3ʳᵈ degree AV blocks; tachycardiaDosage/route/ frequency/max dose(1) = 0.5 mg, IV/IO, 3-5 min, max of 3 mg(2) 1 mg, IV, 3-5 min, no max
61
Epinephrine 1:10,000Indications:Contraindications: Dosage: Route: Frequency: Max dose:
Epinephrine 1:10,000Indications: cardiac arrestContraindications: pt has a pulseDosage: 1 mg of 0.1 mg/mLRoute: IV/IOFrequency: 3-5 minMax dose: max dose
62
The first upward deflection in a QRS = ?
R wave
63
Describe the Q wave =
a downward deflection that precedes an R wave
64
Describe the R wave
the first upward deflection in a QRS
65
the downward deflection that follows the R wave =
S wave
66
Describe the S wave
the downward deflection that follows the R wave
67
What is the downward deflection called if there's no R-wave?
QS wave
68

irregular in grouped beatings

2ⁿᵈ degree type I (Wenkebach)

69

PRI > 0.20; everything else is normal and regular

1st degree HB

70

shark waves =

atrial flutter

71

irregularly irregular =

atrial fibrillation

72

inverted p waves, regular rhythm, 101-150

junctional tachycardia

73

inverted p waves, regular rhythm, 60-100 bpm

accelerated junctional rhythm

74

inverted p waves, regular rhythm, 40-60 bpm

junctional escape rhythm

75

inverted p waves, irregular rhythm, normal QRS

PJC

76

elongating PRI, irregular rhythm, multiple P waves

2ⁿᵈ degree type 1 HB

77

no relationship between p and qrs, qrs is wide and bizzare, regular rhythm

3ʳᵈ degree HB

78

atrial tachycardia/ SVTrhythm: rate: P waves: PRI: QRS:Distinguishing features:

atrial tachycardia/ SVTrhythm: regularrate: 151+P waves: xPRI: xQRS: ≤ 0.12Distinguishing features:

79

atrial flutterrhythm: rate: P waves: PRI: QRS:Distinguishing features:

atrial flutterrhythm: regular/irregularrate: variesP waves: sawtoothPRI: xQRS: < 0.12Distinguishing features: sawtooth F waves

80

atrial fibrillation rhythm: rate: P waves: PRI: QRS:Distinguishing features:

Atrial fibrillationrhythm: irregularly irregularrate: variesP waves: xPRI: xQRS: ≤ 0.12Distinguishing features: irregularly irregular rhythm

81

wandering atrial pacemakerrhythm: rate: P waves: PRI: QRS:Distinguishing features:

wandering atrial pacemakerrhythm: Regularrate: variesP waves: p morphing (∆)PRI: 0.12-0.20 (normal)QRS: ≤ 0.12Distinguishing features:

82

sinus arrhythmiarhythm: rate: P waves: PRI: QRS:Distinguishing features:

sinus arrhythmiarhythm: irregularrate: variesP waves: upright, normalPRI: 0.12-0.20 sQRS: ≤ 0.12Distinguishing features:

83

premature atrial contractionsrhythm: rate: P waves: PRI: QRS:Distinguishing features:

premature atrial contractionsrhythm: irregularrate: variesP waves: upright, normalPRI: 0.12-0.20 QRS: ≤ 0.12Distinguishing features: single ectopic beat

84

where do the junctional arrhythmias occur?

at the AV node

85

1st degree HBrhythm: rate: P waves: PRI: QRS:Distinguishing features:

1st degree HBrhythm: regularrate: variesP waves: uprightPRI: > 0.20 and constantQRS: ≤ 0.12 sDistinguishing features:

86

all SA node rhythms have QRSs that are:

SA node rhythms QRSs ≤ 0.12 s

87

SA node rhythms include (9)

SA node rhythms:WAPSinus arrhythmia1st degree HB2ⁿᵈ degree HB, type 12ⁿᵈ degree HB, type 2sinus tachycardiaNSRsinus bradycardiaPAC

88

all ventricular arrhythmias have QRS's that are:

ventricular arrhythmias QRS: > 0.12

89

Ventricular arrhythmias include: (7)

ventricular arrhythmias =3ʳᵈ degree HBPVCV-tachAccelerated ventricular rhythmV-escape/idioventricularv-fibtorsades

90

2ⁿᵈ degree HB type 1rhythm: rate: P waves: PRI: QRS:Distinguishing features:

2ⁿᵈ degree HB type 1rhythm: irregularrate: variesP waves: multiple P waves, uprightPRI: elongating PRIQRS: ≤ 0.12 sDistinguishing features:

91

2ⁿᵈ degree HB type 2rhythm: rate: P waves: PRI: QRS:Distinguishing features:

2ⁿᵈ degree HB type 1rhythm: regular/irregularrate: variesP waves: multiple P waves, uprightPRI: < 0.20 sQRS: ≤ 0.12 sDistinguishing features:

92

3ʳᵈ degree HBrhythm: rate: P waves: PRI: QRS:Distinguishing features:

3ʳᵈ degree HBrhythm: regularrate: varies/slowP waves: uprightPRI: no relationship b/t P waves and QRSQRS: > 0.12 sDistinguishing features:

93

premature junctional contractionsrhythm: rate: P waves: PRI: QRS:Distinguishing features:

premature junctional contractionsrhythm: irregularrate: variesP waves: invertedPRI: QRS: ≤ 0.12 sDistinguishing features:

94

premature ventricular contractionsrhythm: rate: P waves: PRI: QRS:Distinguishing features:

premature ventricular contractionsrhythm: irregularrate: 101-150P waves: absent for the PVCsPRI: < 0.12 sQRS: > 0.12 s, wide, bizarreDistinguishing features: compensatory pause

95

sinus tachycardiarhythm: rate: P waves: PRI: QRS:Distinguishing features:

sinus tachycardiarhythm: regularrate: 101-150P waves: upright, uniform, P-QRSPRI: < 0.20QRS: < 0.12 Distinguishing features:

96

Normal Sinus Rhythmrhythm: rate: P waves: PRI: QRS:Distinguishing features:

Normal Sinus Rhythmrhythm: regularrate: 60-100P waves: upright, uniform, P-QRSPRI: < 0.20QRS: < 0.12 Distinguishing features:

97

Sinus Bradycardiarhythm: rate: P waves: PRI: QRS:Distinguishing features:

Sinus Bradycardiarhythm: regularrate: < 60P waves: upright, uniform, P-QRSPRI: < 0.20QRS: < 0.12 Distinguishing features:

98

Junctional tachycardiarhythm: rate: P waves: PRI: QRS:Distinguishing features:

Junctional tachycardiarhythm: regularrate: 101-150P waves: inverted if visible, can be before, after, or lostPRI: if P-QRS, PRI < 0.12; if P in or after QRS, no PRIQRS: < 0.12Distinguishing features:

99

Accelerated Junctional rhythm: rate: P waves: PRI: QRS:Distinguishing features:

Accelerated Junctional rhythm: regularrate: 60-100P waves: inverted if visible, can be before, after, or lostPRI: if P-QRS, PRI < 0.12; if P in or after QRS, no PRIQRS: < 0.12Distinguishing features:

100

Junctional escaperhythm: rate: P waves: PRI: QRS:Distinguishing features:

Junctional escaperhythm: regularrate: 40-60P waves: inverted if visible, can be before, after, or lostPRI: if P-QRS, PRI < 0.12; if P in or after QRS, no PRIQRS: < 0.12Distinguishing features:

101

Ventricular tachycardiarhythm: rate: P waves: PRI: QRS:Distinguishing features:

Ventricular tachycardiarhythm: usually regular, can be slightly irregular rate: 150-250 (if it exceeds 250, it's V-flutter)P waves: xPRI: xQRS: wide, bizarre, > 0.12 sDistinguishing features:

102

Accelerated Ventricular rhythmrhythm: rate: P waves: PRI: QRS:Distinguishing features:

Accelerated Ventricular rhythmrhythm: regularrate: 40-100P waves: xPRI: xQRS: wide, bizarre, > 0.12 sDistinguishing features:

103

Ventricular escape rhythm / idioventricularrhythm: rate: P waves: PRI: QRS:Distinguishing features:

Ventricular escape rhythm / idioventricularrhythm: usually regularrate: 20-40 but can be < 20P waves: xPRI: xQRS: wide and bizarre, > 0.12 sDistinguishing features:

104

Ventricular fibrillationrhythm: rate: P waves: PRI: QRS:Distinguishing features:

Ventricular fibrillationrhythm: totally chaoticrate: xP waves: xPRI: xQRS:xDistinguishing features:

105

Torsades de Pointes/ polymorphic V-tachrhythm: rate: P waves: PRI: QRS:Distinguishing features:

Torsades de Pointes/ polymorphic V-tachrhythm: irregularrate: 150-250P waves: xPRI: xQRS: wide and changing in amplitudeDistinguishing features:

106

p wave represents

Atrial depolarization

107

pr interval represents

time between the onset of atrial depolarization and the onset of ventricular depolarization

108

QRS complex represents

ventricular depolarization

109

st segment represents

ventricular repolarization

110

qt interval measures

ventricular depolarization and repolarization and is inversely related to heart rate

111

T wave represents

ventricular repolarization

112

measuring the P-to-P waves = the ____ rate

atrial rate = P-P

113

measuring the R-to-R waves = the ____ rate

ventricular rate = R-R

114

which arrhythmia corresponds to the respiratory cycle?

sinus arrhythmia

115

most common cause of atrial tachycardia?

digoxin toxicity

116
pt is bradycardic
1. IV, O₂, Monitor- 12 lead, H's and Ts2. Atropine- 1 mg q 3-5; max 3mg3. if ineffective, do transcutaneous pacing- 70 rate, 70 mVAND/ORDopamine @ 5-20 mcg/kg/min infusion, titrateEpi @ 2-10 mcg/min infusion, titrate
117
Pt is tachycardic
1. IV, O₂, Monitor, 12 lead, H's and Ts2a. unstable (hypotensive, AMS, shock, CP, acute heart failure) = synchronized cardioversion- starting at 100 J 2b. if regular, narrow complex, consider adenosine- 6mg rapid IV then flush; 2ⁿᵈ dose if needed = 12mg2c. if wide QRS and stable, can do amiodarone @ 150 mg/10 min*2d. if pt is stable and narrow QRS, do vagal maneuvers, beta blocker or calcium channel blocker3. consider need to increase voltage
118
Pt has VF/pVT
1. start CPR2. identify rhythm3. Shock4. CPR5. identify rhythm. 6- if shockable (VF/pVT) shock and continue CPR; Epinephrine q 3-5 min, capnography6b- if not shockable, go to CPR7. identify rhythm8. if shockable shock9. continue CPR— may need amiodarone- 1st dose 300 mg IV bolus, 2n dose 150 mg; OR Lidocaine- 1st dose: 1-1.5 mg/kg, 2ⁿᵈ dose- 0.5-0.75 mg/kg
119
Hs and Ts
Hypovolemiahypoxiahydrogen ion (acidosis)hypo/hyperkalemiahypothermiaTension pneumothoraxTampanode ToxinsThrombosis
120
Pt has asystole/PEA
1. epinephrine ASAP- 1 mg q 3-5 min2. CPR- IV/IO access, advanced airway, capnography3. rhythm shockable?3a. yes = shock and go back to CPR; epinephrine again3b- CPR, treat reversible causes
121
Pt obtains ROSC
1. manage airway, respiratory paramaters, and hemodynamic parameters2. 12 lead3. consider STEMI, unstable cardiogenic shock, mechanical circulatory support4. does pt follow commands?4a. yes = awake- other critical care management4b. no = comatose- TTM, brain CT, EEG monitoring, other critical care management
122
what are the respiratory parameters in ROSC?
10 breaths/min, SpO2- 92%-98%; PaCO2, 35-45 mmHg
123
what are the hemodynamic parameters in ROSC?
systolic BP > 90 mmHg; MAP > 65 mmHg
124
Cardizem
0.25 mg/kg then 0.35 mg/kg
125
narrow tachycardia meds (4)
adenosine, cardizem, beta blockers like metoprolol or lebetalol
126
wide tachycardia meds (2)
amiodarone or procainamide
127
amiodarone dosages
150 mg/100 ml over 10 mins
128
procainamide dosages
25-50 mg / min
129
bradycardia epinephrine drip dosage
2-10 mcg/min
130
bradycardia meds (3)
atropine, dopamine, epinephrine
131
dopamine for bradycardia dosages
2-20 mcg/kg/min
132
pea/asystole med
epinephrine 1 mg 1:10,000 q 3-5 min
133
cardiac arrest meds (3)
epinephrine, amiodarone, lidocaine
134
lidocaine dosage for cardiac arrest
1-1.5 mg/kg
135
Activated charcoal dose
1g/kg mixed w/ at least 6 to 8 oz. of water, then, PO or Vi an NG tube.
136
Adenosine dose
6mg followed by a rapid push of 20cc NS, for the first round. Next round is 12mg followed by a rapid push of 20cc NS May repeat twice.
137
albuterol dose
2.5 mg in 3mL NS via nebulizer, repeat as needed
138
Amiodarone dose, adults and peds, max dose
adult: 300 mg then 150 mgpeds: 5 mg/kg, max 15 mg/kg, 2.2 g
139
aspirin dose and contraindications
160-325 mg PO; contraindications- active ulcer disease, recent surgeries
140
atropine dosage for indications (2) and peds dosage
Symptomatic Bradycardia 0.5 to 1mg IV/2 mg EMT. May repeat in 5 min up to 1mg. For Organophosphate poisoning 2 to 5mg IV/IM/IO/ 10 to 15 minutes. Peds dosage 0.05 mg/kg IV/IM/IO/ 10 to 15 minutes.
141
Atrovent dosage and peds; contraindications
500 mcg in 2.5 to 3 mL NS via Nebulizer or two sprays from a metered dose inhalerPed: 125 to 250 mcg in 2.5 to 3 ml NS via Nebulizer, or 1 or two sprays of a metered dose inhaler; contraindications: Hypersensitivity to soya lecithin or related food products such as soybean and peanut.
142
calcium chloride and peds dosage and contraindications
25 to 50mg IM. Ped:0.5 mg/kg IM or 1mg/kg PRcontraindications: Ventricular Fibrillation, hypercalcemia, and possible digitalis toxicity
143
dextrose dosagepeds dose
25g D-5w (50mL) IV, Ped:2mL/kg of 25%solution IV
144
digoxin dose and peds dose
0.25 to 0.5 mg slowly IV: Ped: 10 to 50 mcg/kg IV
145
Diphenhydromine (Benadryl) dose
25 to 50mg IV/IM
146
dopamine dose
2 to 5 mcg/kg/min up to 20 mcg/kg/min, titrated to effect. Ped: same as adult
147
Epinephrine indications (2) dose and peds
Arrest: 1mg of 1:10,000 IV 3 to 5 min (ET 2 to 2.5mg 1:1,000).Peds 0.01 mg/kg 1:10,000 IV/IO (ET: 0.1mg/kg 1:1,000). All subsequent dosages 0.1 mg/kg IV/IO.Allergic Reactions: 0.3 to 0.5 of 1:1,000 SubQ/ 5 to 15 min as needed or 0.5 to 1mg of 1:10,000 IV if subQ dose is ineffective or severe reaction. Ped: 0.01 mg/kg of 1:1,000 subQ/ 10 to 15 or 0.01mg/kg of 1:10,000 IV if subQ dose is ineffective or severe.
148
furosemide dosage- peds
40 to 120 mg slow IVPed: 1 mg/kg slow IV
149
glucagon dosage (2) peds
Hypoglycemia: 1 mg IM/SC repeat/ 5 to 20 min. Ped: 0.1 mg/kg 1m/SC/IV for child <10kg: 1mg/kg 1 /m/SC/IV for child > 10kgBeta-blocker overdose 50 to 150 mg/kg IV over 1 min. Ped 50 to 150 mg/kg IV over 1 min
150
insuline dosage- peds
5 to 10 units IV/IM/SC. Ped 2 to 4 units IV/IM/SC
151
Ipratropium dosage- peds and contraindications
500 mcg in 2.5 to 3 mL NS via Nebulizer or two sprays from a metered dose inhalerPed: 125 to 250 mcg in 2.5 to 3 ml NS via Nebulizer, or 1 or two sprays of a metered dose inhalerSometime also given .5ml in 2.5 mL for adults. via nebulizer Peds: .25mL in 1.25mL via nebulizer contraindications- Hypersensitivity to soya lecithin or related food products such as soybean and peanut.
152
lidocaine (2) dosage and peds
Cardiac Arrest 1 to 1.5 mg/kg IV repeated every 3 to 5 min up to 3mg/kg, follow 3mg/kg with a drip of 2 to 4 mg/min. Ped: 1 mg/kg IV, repeat/ 3 to 5 min up to 3mg/kg, follow conversion with a drip of 20 to 50 mcg/kg/min.Ventricular tachycardia (W/ pulse): 1 to 1.5 mg/kg slow IV. My repeat at one half dose every 5 to 10 min until conversion up to 3mg/kg. Follow conversion with an infusion of 2 to 4 mg/min. Ped: 1mg/kg, followed by a drip at 20 to 50 mg/kg/min.
153
magnesium sulphate (4) dosage
Ventricular Fibrillation or tachycardia: 1 to 2 g IV over 2 min.Torsade De Pointes: 1 to 2 g IV followed by infusion of 0.5 to 1 g/hr/IVAMI: 1 to 2 g IV over 5 to 30 min.Eclampsia: 2 to 4 g IV/IM.
154
midazolam dosage and contraindications
1 to 2.5 mg slow IV: 0.07 to 0.08 mg/kg IM (usually 5mg).Ped: 0.05 to 0.2mg/kg IV: 0.1 to 0.15 mg/kg IM: 3 mg intransnasal contraindications Hypersensitivity to Benzondiazepines
155
morphine dosage indications (3) and contraindications
Pain: 2.5 to 15 mg IV; 5 to 20mg IM/subQ.Ped: 0.05 to 0.1 mg/kg IV; 0.1 to 0.2 mg/kg/IM/SubQAMI or PE: 1 to 2 mg/ 6 to 10 min to response Contraindications: respiratory depression
156
nalaxone and peds dose
0.4 to 2mg IV/IM (2 to 2.5 times the doe ET), repeated/2 to 3 min as needed up to 10mg.Ped: 0.01 mg IV/IM 2 to 2.5 times the dose ET) repeated/2 to 3 min as needed up to 10mg.
157
nitroglycerine dose and contraindications
1 tablet (0.4 mg) SL. May be repeated/3 to 5 min up to 3 tablets, or 1/2 inch of topical ointment, or 0.4mg (one spray) SL up to 3 sprays/25 min. contraindications Sexually enhancing medication Viagra, Levitra Etc, Hypotension
158
Oxytocin
3 to 10 units IM after delivery of placenta. 10 to 20 units in 1,000 mL of D-5w or NS IV titrated to effect.
159
procainamide dosagepeds dosage
20 to 30 mg/min IV drip up to 17 mg/kg to effect, then 1 to 4mg/min.Ped: 15 mg/kg/IV/IO over 30 to 60 min.
160
sodium bicarbonate dosage and peds dose
1 mEq/kg IV, then 0.5 mEq/kg/10min.Ped: same as adult (may be given IO).
161
thiamine dosage and peds dose
50 to 100 mg IV/IM.Ped: 10 to 25 mg IV/IM
162
Vasopressin indicators (2) and dosage
Arrest: 40 Units IV.Esophageal varices: 0.2 to 0.4 units/min IV drip.
163
verapamil dose and contraindications
2.5 to 5 mg IV bolus over 2 to 3 min, then 5 to 10 mg after 15 to 30 min to max of 30 mg in 30 min.Ped: newborn--0.1 to 0.2 mg/kg (not to exceed 2 mg), age 1 to 15- 0.1 to 0.3 mg/kg (not to exceed 5 mg)contraindications: hypotension
164
Pediatric Versed dose IM
0.2 mg/kg, max 5 mg
165
Pediatric Versed dose IV/IO
0.1 mg/kg IV/IO
166
Pediatric dose Ativan IV/IO/IN
0.05-0.1 mg/kg slow, max 2mg
167
Pediatric dextrose 10% dose
5 ml/kg IV/IO
168
Pediatric glucagon dose
0.5/kg mg if < 20 kg; 1 mg/kg if > 20 kg IM/IN atomized (if no IV/IO access) max 1 mg
169
Pediatric epinephrine for moderate anaphylactic reaction dose (rash, itching, wheezing, swelling, hypotension, GI symptoms, airway compromise)
0.01 mg/kg IM of the 1 mg/ml 1:1,000 concentration, max dose 0.5 mg
170
Pediatric Benadryl dose for mild allergic reactions (no difficulty breathing or throat tightening, BP in normal limits)
1 mg/kg slow IV/IM/IO, max dose 50 mg
171
pediatric solumedrol dose
2 mg/kg IV, max 125 mg
172
Pediatric impending arrest anaphylactic shock
0.01 mg/kg IV/IO of the 0.1 mg/ml concentration, max dose 0.5 mg {this is the cardiac epi}
173
Parkland formula
The Parkland formula for the total fluid requirement in 24 hours is as follows: 4ml x TBSA (%) x body weight (kg); 50% given in first eight hours; 50% given in next 16 hours.
174
inotropic, chronaotropic, dromotropic
Inotropic = contractilityChronotropic = heart rateDromotropic = conduction speed
175
bipolar leads
leads I, II, III
176
lead I
negative electrode right arm and positive electrode left arm
177
lead II
negative electrode right arm and positive electrode left leg
178
Lead III
negative electrode left arm and positive electrode left leg

Medic (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions