Rhythm Disturbances- meds

Question 1

Unstable SVT/VT w/ pulses

Answer 1

Synchronized cardioversion 0.5-1 J/kg

Repeat at 2 J/kg

Question 2

Stable Narrow QRS Tachycardia- first try?

Answer 2

Vagal Maneuvers

Question 3

Stable Narrow QRS Tachycardia- meds/dose

Answer 3

Adenosine- 0.1 mg/kg (IV or IO) max 6 mg, cut dose in 1/2 if via central line, can repeat x2 at 0.2 mg/kg, max 12
Amiodarone- 5 mg/kg over 20-60 min
Procainamide- 15 mg/kg over 30-60 min

Question 4

Stable Narrow QRS Tachycardia- If Amiodarone is given ggt

Answer 4

5-10 mcg/kg/min

Question 5

Stable Narrow QRS Tachycardia- If Procainamide is given ggt

Answer 5

20-80 mcg/kg/min

Question 6

Stable Wide QRS Tachycardia- When to give adenosine

Answer 6

Monomorphic QRS and regular rhythm

Question 7

Stable Wide QRS Tachycardia- Meds

Answer 7

Amiodarone
Procainamide
Lidocaine

Question 8

Stable Wide QRS Tachycardia- Amiodarone- dose

Answer 8

5 mg/kg over 20-60 min

Question 9

Stable Wide QRS Tachycardia- Procainamide- dose

Answer 9

15 mig/kg over 30-60 min

Question 10

Stable Wide QRS Tachycardia- Lidocaine- dose

Answer 10

1 mg/kg IV/IO bolus
ggt 20-50 mcg/kg/min
ETT bolus- 2-3 mg/kg

Question 11

Stable Wide QRS Tachycardia- Synchronized Cardioversion- dose

Answer 11

0.5-1 j/kg

Repeat at 2j/kg

Question 12

Unstable Bradycardia- meds

Answer 12

Epinephrine

Atropine

Question 13

Unstable Bradycardia- Epinephrine- Dose

Answer 13

0.01 mg/kg IV/IO @ 0.1cc/kg of 1:10,000
0.1 mg/kg ETT @ 0.1 cc/kg of 1:1000
Repeat q 3-5 min

Question 14

Unstable Bradycardia- Atropine- Dose

Answer 14

0.02 mg/kg

Question 15

What other treatment can be used

Answer 15

Cardiac Pacing

Question 16

Stable Bradycardia - treatment

Answer 16

Obs, ABC, Prepare for external pacing

Question 17

Vfib- Vtach- pulseless- immediate tx

Answer 17

Defibrillation- 2-4 Jkg, repeat at 4-10 j/kg

Question 18

Vfib- Vtach- Epi dose

Answer 18

0.01 mg/kg IV/IO @ 0.1 of 1:10,000 q3-5 min

Question 19

Vfib-Vtach- Amiodarone- dose

Answer 19

5 mg/kg IV/IO bolus in 5cc flush- 300 mg max max repeat x2

Question 20

Vfib-Vtach- Lidocaine-dose

Answer 20

1 mg/kg IV/IO bolus, ggt 20-50 mcg/kg/min

Question 21

Vfib-Vtach- MgSO4- dose

Answer 21

25-50 mg/kg IV/IO bolus 2g max

Question 22

Vfib-Vtach- meds

Answer 22

Epi
Amiodarone
Lidocaine
MgSO4

Question 23

Asystole/PEA- Epi dose

Answer 23

0.01 mg/kg IV/IO @ 0.1cc/kg of 1:10,000 q 3-5 min