Static Electricity can be shocking Flashcards
Each team can choose a TM to respond. You have 30 seconds. TM cannot be chosen again until everyone has had a chance.
A 35-year-old female patient reports generalized weakness.
Static Cardiology:
-Interpretation
-Management
SR- 1st Degree AV Block
- maintain SpO2- 94-99%, BGL
- 12 lead
- monitor
45-year-old patient reports palpitations.
Static Cardiology:
-Interpretation
-Management
SVT
- maintain SpO2- 94-99%, BGL
- vagal
- Adenosine- 6 mg, 12 mg
- Consider benzodiazepines if history of methamphetamine use
76-year-old patient is pale, diaphoretic, and somnolent.
Static Cardiology:
-Interpretation
-Management
Idioventricular
-TCP
- set rate (70-80)
- set mA
- check electrical capture on ECG
- check for mechanical capture
-increase mA by 10%
-reassess
76-year-old patient is pale, diaphoretic, and somnolent.
Static Cardiology:
-Interpretation
-Management
2nd Degree Type II
-TCP
- set rate (70-80)
- set mA
- check electrical capture on ECG
- check for mechanical capture
-increase mA by 10%
-reassess
66-year-old patient is not feeling well.
Static Cardiology:
-Interpretation
-Management
2nd Degree Type II
- consider atropine 1 mg max 3 mg secondary to narrow QRS complex
-consider TCP if patient deteriorates
A patient is SHOB. VS: BP- 100/60, RR- 30, LS CTA bilaterally.
Static Cardiology:
-Interpretation
-Management
A Fib RVR
-O2, 12 lead
-How long, has this been going on?
- cardiazem 0.25 mg/kg
or
-amiodarone 150 mg/ 100 ml over 20 minutes.
A homeless patient is found lying in the sun and is warm to the touch. VS: BP- 130/65, RR- 24, T- 100.3, EtCO2- 35 mmHg
Static Cardiology:
-Interpretation
-Management
ST
- O2, IV
- NS fluid bolus 15 ml/ kg
A patient reports feeling weak. VS: BP- 90/65, RR- 24, LS CTA bilaterally, T- 98.6, EtCO2- 35 mmHg.
Static Cardiology:
-Interpretation
-Management
SB
- Maintain SpO2 94-99%, 12 lead, IV
-Atropine 1 mg max 3 mg
-consider fluid bolus
- monitor
A patient is lethargic, pale and clammy and reports feeling weak. VS: BP- 90/65, RR- 24, LS CTA bilaterally, T- 98.6, EtCO2- 30 mmHg.
Static Cardiology:
-Interpretation
-Management
3rd Degree
-TCP
- set rate (70-80)
- set mA
- check electrical capture on ECG
- check for mechanical capture
-increase mA by 10%
-reassess
A patient feels fluttering in their chest. VS: BP- 112/65, RR- 18, LS CTA bilaterally, T- 98.6, EtCO2- 35 mmHg.
Static Cardiology:
-Interpretation
-Management
A Flutter
- Maintain SpO2 94-99%, 12 lead, IV
- monitor
A patient is somnolent.
Static Cardiology:
-Interpretation
-Management
Torsades de Pointes
- O2, IV
-defibrillate @ 100- 200 J - MgSO4 1- 2 Gm SIVP
A patient is responsive to pain with moaning.
Static Cardiology:
-Interpretation
-Management
Junctional escape rhythm
- Assess for hypoxia, BGL, Sx of drug use
- O2, IV, fluid bolus
- Hs & Ts
- consider TCP
A patient is alert and has been experiencing nausea and vomiting x 2 days.
Static Cardiology:
-Interpretation
-Management
2nd Degree Type I
- maintain SpO2 94-99%, 12 lead
- IV NS fluid bolus
-monitor
A patient is alert and has nausea and vomited x 2.
Static Cardiology:
-Interpretation
-Management
VT
- amiodarone 150 mg/ 10 minutes
if patient deteriorates synchronized cardiovert @ 100 J
A patient becomes unresponsive:
V Fib
Defibrillate @ 200 J- CPR
IV/ IO- 1 mg epi [1:10,000] 10 ml q 3-5 min.
Check pulse/ rhythm
Defibrillate @ 300 J- CPR
Amiodarone 300 mg, 6 ml
Check pulse/ rhythm
Defibrillate @ 360 J- CPR
Advanced AW and Epi
Check pulse/ rhythm
Defibrillate @ 360 J- CPR
Amiodarone 150 mg, 3 ml
Check pulse/ rhythm
Defibrillate @ 360 J- CPR
Consider causes
Continue drug/ shock @ 360 J:
Lidocaine 1-1.5 mg/kg; then 0.75-0.5 mg/kg
HCO3 1 mEq/ kg
Ca++ 1 gm renal patients with missed dialysis. Patients just completing dialysis are likely hypokalemic.
