Static

Question 0

ACS ( chest pain)

Answer 0

ABC, Iv, O2, monitor, 12 lead
Morphine 2-10mg 
Oxygen 
Nitro 0.4mg max 3 doses. B/P over 100
ASA 161mg- 324mg

Question 1

Asystole/Pea

Answer 1

ABC, Iv, O2, monitor, 12 lead
CPR, intubation
Consider causes H/T
Epi 1:10,000 1mg IVP every 3-5 , minutes

Question 2

Bradycardia

Answer 2

ABC, Iv, O2, monitor, 12 lead
Atropine 0.5mg IVP max dose of 3mg
TCP consider sedation and analgesic
Dopamine 2-10mcg/kg/min
Epi 1:10,000 2-10mcg/min

Question 3

(Stable) SVT narrow complex tachycardia

Answer 3

ABC, Iv, O2, monitor, 12 lead
Vagal maneuvers
Adenosine 6mg rapid Iv push, 12mg rapid Iv push
Consider calcium and beta blocker
If unstable consider synchronized cardioversion

Question 4

(Unstable) SVT

Answer 4

ABC, Iv, O2, monitor, 12 lead
Synchronized cardioversion 50-100 Jules.
Consider adenosine 6mg rapid Iv push, 12mg rapid Iv push

Question 5

(Unstable) A-fib

Answer 5

ABC, Iv, O2, monitor, 12 lead
Synchronized cardioversion 120-200 Jules.
Consider Calcium and beta blocker

Question 6

V-Fib

Answer 6

ABC, Iv, O2, monitor, 12 leads
Defibrillated at 360 joules or biphasic equivalent
Intubate
Epi 1:10,00 1mg IVP or vasopression 40 units IVP
Amiodaron 300mg first dose, 150 second dose
(Trosada de pointes) Mag sulfate 2g

Question 7

(Stable) V-tach

Answer 7

ABC, Iv, O2, monitor, 12 lead
Amiodaron 150mg Iv push over 10min
Synchronized cardioversion

Question 8

(Unstable) V-tach

Answer 8

ABC, Iv, O2, monitor, 12 lead
Synchronized cardioversion 100jules
Amiodaron 150mg Iv push over 10 min.