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Paramedic Class > V-Fib Algorithm > Flashcards

V-Fib Algorithm Flashcards

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1
Q

How long are CPR windows?

A

2 minutes

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2
Q

How many joules for biphasic?

A

200 J

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3
Q

What is a joule?

A

Watts/sec

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4
Q

How many joules for monophasic?

A

360 joules

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5
Q

What do you need for an IV?

A

1000 mL NS
Maxi drip set
Largest catheter possible
Proximal vein

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6
Q

9 ways to confirm endotracheal tube placement?

A
  1. Visualize tube placement in cords
  2. End tidal CO2 colorimetric (yellow is good)
  3. End tidal CO2 waveform (On monitor)
  4. Listen to lung sounds. Epigastric first, then upper left, right, lower right, lower left.
  5. Bilateral chest excursion (rise)
  6. Condensation in tube
  7. 22 cm depth for male, 21 cm for female. On average
  8. EDD Esophageal detector device
  9. Chest x-rayl
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7
Q

What are first line cardiac drugs? First option and second option.

A

Epinephrine and vasopressin

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8
Q

What are second line cardiac drugs? First and second option.

A

Lidocaine and amiodarone

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9
Q

Epinephrine cardiac dose?

A

1 mg. 1:10000.

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10
Q

Vasopressin dose?

A

40 units. One time dose

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11
Q

How long does epinephrine last?

A

Loses effect after 3 to 5 minutes.

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12
Q

Lidocaine dose?

A

1-1.5 mg/kg. max dose is 3 mg/kg

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13
Q

Amiodarone dose?

A

300 mg. max dose of 450 mg.

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14
Q

What is ROSC?

A

Return of spontaneous circulation

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15
Q

What do you fix when you get ROSC?

A
  1. Rate
  2. BP
  3. Ectopic
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16
Q

What do you do for a dialysis patient with V-fib/V-tach?

A

Give them calcium gluconate at 1g.

Give sodium bicarbonate at 1mEg/kg.

17
Q

How much pressure do you put on the defib pads? And how do you know it’s enough?

A

25 lbs.

You’ll go down 1/8-1/4 inch.

18
Q

What is the general order of the v-fib algorithm?

A 
CAB
CPR
Defibrillate ASAP
CPR - 2 minute window
IV/IO
ETT
Defib
CPR
1st line drugs
Defib
CPR
2nd line drugs
Defib
CPR
1st line drugs....continue for 15 minutes or so or ROSC

Paramedic Class (12 decks)

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