Tim Handout

Question 1

Dose: Epinephrine

Answer 1

1mg IV push repeat every 3-5 min

Question 2

Dose: Amiodarone

Answer 2

300mg IV push (first dose)

150 mg IV push (second dose)

Question 3

Dose: atropine

Answer 3

0.5 mg IV push q 3-5 minutes

MAX dose 3 g

Question 4

Dose: Adenosine

Answer 4

6mg push

12 mg IV repeat dose (2x)

Question 5

magnesium

Answer 5

2g IV push

Question 6

Diltiazem

Answer 6

10-20 mg IV bolus followed by IV drip titrating effect

Question 7

V Tach with pulse first step

Answer 7

first asses if pt is stable or unstable

Question 8

stable V Tach if pt has:

Answer 8

systolic BP > 90

denies chest pain

alert and oriented

Question 9

V-tach stable treatment

Answer 9

procainamide (1st line)
amiodarone IV drip
adenosine

Question 10

unstable V Tach if pt has:

Answer 10

systolic blood pressure <90
reports chest pain
develops AMS

only need one

Question 11

energies for synchronized cardio version

V tach without pulse OR V fib

Answer 11

defibrillation 200 joules

Question 12

energies for synchronized cardio version:

unstable regular, narrow complex A flutter

Answer 12

100 joules

Question 13

energies for synchronized cardio version

unstable irregular, narrow complex (A fib)

Answer 13

150-200 joules

Question 14

energies for synchronized cardio version

wide complex V Tach w/ulse

Answer 14

100, 150, 200 joules