Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Protocol > Protocol > Flashcards

Protocol Flashcards

1
Q

H’s

A

Hypovolemia hypoxia hypothermia hypoglycemia hypocalcemia, hyperkalemia, hydrogen ion acidosis

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

T’s

A

Tablets, trauma, tension pneumothorax, cardiac tamponade, thrombosis coronary/pulmonary

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

Asystole/PEA

A 
CPR x 2 minutes
VASOPRESSIN 40U IV/IO
EPI 1mg x 3-5 minutes
H's and T's
CALCIUM 10% 1g 
PACE 70/80HR
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Asthma/COPD

A

COPD no EPI
ALBUTEROL 2.5 mg with 2.5 mL of NS (may be repeated twice)
IPRATOPRIUM BROMIDE 0.5mg to FIRST TREATMENT ONLY
EPI 1:1 0.3 mg IM
MAG SULFATE 2g in 50mL D5W over 5 to 10 minutes
EPI 1:1 0.3 mg IM (lateral thigh)
CPAP 2.5 - 5.0 PEEP
EPI 1:1 0.3 mg IM (if HR less than 140)

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

Bradycardia

A 
Less than 50HR
UNSTABLE - CASH
IV/12lead/V4R
ATROPINE 0.5mg x 3-5minutes
EPI 0.2-0.3mg 1:10 IVP
PACE
DOPAMINE (if Brady does not respond to atropine)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Narrow complex tachycardia- borderline symptomatic

A

HR > 150
Vagal maneuvers
ADENOSINE 6mg rapid IVP with 20mL NS flush
ADENOSINE 12mg rapid IVP with 20mL NS flush
DILTIAZEM (CARDIZEM) 0.25mg/kg over 2 minutes (average 20mg)

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

Narrow complex tachycardia -unstable

A

ADENOSINE 12mg rapid IVP with 10mL NS flush
SEDATION ETOMIDATE 0.3mg/kg
SYNCHRONIZED CARDIOVERSION 50j, 100j, 200j, 300j, 360j
*adenosine not given to afib or a flutter

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

Afib/Aflutter

A

HR>150
IV/12lead
DILTIAZEM (CARDIZEM) 0.25mg/kg IV over 2 minutes
IF NOT RESOLVED IN 15min. CARDIZEM 0.35mg/kg IV over 2 minutes (average 25mg)

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

Wide complex tachycardia- stable

Torsades de Pointes

A

ADENOSINE 6mg
ADENOSINE 12mg
AMIODARONE 150mg in 50mL D5W over 10 minutes (10gtt @ 1drop a second)
AMIODARONE 150mg in 50mL D5W over 10 minutes
Torsades- MAG SULFATE 2g in 50mL of D5W over 1-2min
Torsades maintenance- MAG SULFATE infusion 1g in 250mL at 30-60gtt/min with 60gtt set

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

Wide complex tachycardia - unstable

A 
HR less than 150 and SBP
ETOMIDATE 0.3 mg/kg
AMIODARONE 150mg IVP
SYNC 100j
AMIODARONE 150mg/mL over 10min
SYNC 200j
SYNC 200j
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Vfib-pulseless Vtach

A 
CPR
IV / airway
DEFIB 200j
EPI 1mg 1:10 every 3-5min
VASO 40U
DEFIB 200j
AMIODARONE 300mg
AMIODARONE 150mg
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

ETCO2 #’s

A

less than 10; improve CPR
12-25; goal during resuscitation
35-45; check for ROSC

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

Return of Spontaneous Circulation ROSC

A

12lead
Reasses CAB
O2 maintain SpO2 94%
FLUID CHALLENGE 500ml if SBP less than 90
DOPAMINE 5-10mcg/kg/min for SBP apove 90
IF ANTIARRHYTHMIC was NOT used; AMIODARONE 150mg in 50mL of D5W over 10min
Frequent PVC or VT; AMIODARONE 150mg in 50mL of D5W over 10min
*Do not use amiodarone if patient has HR less than 60, second degree type II, third degree block, or hypotensive

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

Therapeutic Hypothermia Inclusion Criteria

A

Patients with ROSC post NON TRAUMATIC cardiac arrest
Advanced airway, EtCO2 greater than 20mmHg
MAP 90-100 use Dopamine 10-20mcg/kg/min
16 years or greater

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

Therapeutic Hypothermia Exclusion Criteria

A 
Pregnant
Traumatic cardiac arrest
Significant head trauma
Significant hemorrhage
Status epilepticus
Pulmonary Edema
SBP less than 90mmHg
Initial temp less than 93.2F
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Induced Hypothermia

A

Advanced airway and EtCO2 greater than 20mmHg
Maintain SpO2 above 94% and EtCO2 35-45mmHg
DOPAMINE 10-20mcg/kg/min for MAP 90-100
Versed 0.15mg/kg max of 10mg
Vecuronium 0.1mg/kg max of 10mg or Rocoronium 1mg/kg max 10mg
SALINE 30mL/kg
DOPAMINE 10mcg/kg if SBP drops below 90, maintain SBP 110mmHg

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

Cardiogenic Shock

A

SBP less than 90
12lead
500mL NS
DOPAMINE 5-20mcg/kg/min, Titrate SBP 90-120mmHg

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

Chest Pain

A

O2 via Nasal Cannula 4L/min or non-rebreather at 15L/min if SpO2 less than 94%
Aspirin 162-324mg
12lead
Inferior wall MI, perform V4R to rule out concurrent
Hypotensive= Cardiogenic shock protocol
NITROGLYCERIN 0.4mg every 3-5min max 1.2mg
MORPHINE 2mg every 3-5min max 10mg
*Inferior Wall MI avoid Nitrates

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

Hypertensive

A

BP

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

AMS

A

Glucose Test

Narcan 2mg

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

Violent or Impaired Patient

A

MIDAZOLAM 2mg

22
Q

CHF/PE

A 
if BP 120-160 give NITROGLYCERIN 0.4mg SL 
LASIX 40mg slow IVP
CPAP 10 PEEP
consider ADVANCED AIRWAY if needed
nebulized bronchodilators may be used
*CPAP may not be used if BP below 90
23
Q

Hypoglycemic

A 
Glucose less than 60
D50 25g
GLUCAGON 1mg IM or IN
Glucose more than 300
500mL NS
23
Q

Haloperidol

Haldol

A

Adult: 5-10mg IV/IM/IN
Follow with 50mg of Benadryl

Pedi: 0.1mg/kg IM (max 5mg)

24
Q

Ipratropium Bromide

Artrovent

A

Adult: 500mili
Pedi: less than 1yr not used

25
Q

Lebatalol hydrochloride

A

Adult: 20mg slow IV

26
Q

Furosemide (lasix)

A

Adult: 40mg IV

27
Q

Magnesium sulfate

A

Adult:
Eclampsia seizure: 4gm IV over 4min. Repeat 2gm IV over 5min
Torsades des pointes and refractory VF: 1-2gm IV over 1-2min followed by maintenance infusion of 1gm
Asthma: 2gm in 50/100 cc over 10min
Pedi:
Asthma: 20-60mg/kg in 50/100cc over 10min

28
Q

Midazolam (versed)

A

Adult: 2-4mg IV max 8mg
Pedi: 0.1mg/kg IV/IO/IN max 5mg. May repeat

29
Q

Morphine sulfate

A 
Adult: 
Pain: 2-10mg IV/IM/SC every 5 min.
Burns: max 30mg over 20min
Pedi: 0.1-0.2 mg/kg IV
Infant: 0.05-0.1 mg/kg IV
31
Q

Naloxone (narcan)

A

Adult: 2mg IV, IN, IM, SC, IO, ET
Pedi: 0.1mg/kg IV, IN, IM, SC, IO, ET

32
Q

Nitroglycerin

A

Adult: 0.4mg Sublingual. BP>110

33
Q

Nitrous Oxide

A

50% blended with O2. Give O2 NC 4-6LPM

34
Q

Oral Glucose

A

1 to 2 tubes orally

35
Q

Clopidogrel Bisulfate (Plavix)

A

1 tablet

36
Q

Sodium Bicarbonate

A

Adult & Pedi: 1meq/kq 8.4%

Infant: 1meq/kq 4.2%

37
Q

Methylprednisolone (solu-medrol)

A

Adult: 125mg IV, IM
Pedi: 2mg/kg IV,IM

38
Q

Succinycholine

A

Adult: 1.5mg/kg
Pedi: 2mg/kg

39
Q

Tetracaine

A

2 drops

40
Q

Ketorlac (Toradol)

A

Adult: 60mg IM, 30mg IV

41
Q

Acetaminophen (Tylenol)

A

Pedi: 15mg/kg oral

42
Q

Vasopressin

A

40 units IV

43
Q

Ondansteron (Zofran)

A

Adult: 4mg IV,IM
Pedi: >40kg 4mg, <40kg 0.1mg/kg

44
Q

Pedi .1mg/kg

A 
NAHVZ
NARCAN
ADENOSINE
HALOPERIDOL
VERSED
ZOFRAN
45
Q

Magnesium dose syllabus

A

2g / 2 syllabus
Torsades and asthma
4g / 4 syllabus
Eclampsia

46
Q

Rapid infusion

A

Mag 10gtt set 5-10 min amiodarone 10gtt set 1gtt/min

47
Q

Trauma Alert Adult

A

ABCCF

Airway, BMR, Circulation, Cutaneous, Fractures, GCS 12

48
Q

Trauma Alert Pedi

A

ACCCF

Airway, Consciousness, Circulation, Cutaneous, Fracture

49
Q

Adult Trauma Alert RED

A

Airway- Active assisted airway. BMR- less than 4, spinal cord injury, loss of sensation. Circulation- No radial pulse w HR greater than 120 or BP less than 90
Cutaneous- Pene injury head neck torso. Amputation extremity. 2 or 3deg burn greater 15%.
GCS-12

50
Q

Pedi Trauma Alert BLUE

A

Airway- Active assisted airway. Conscious- Circulation- Cutaneous- Fracture-

Protocol (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions