ACLS STUDY CARDS
• ECG Clues for Hydrogen Ions (acidosis)
Answer: Smaller-amplitude QRS Complexes
• History/Physical Clues for Hydrogen Ions & Effective Intervention
Answer:
Historyof diabetes
Bicarb responsive pre-existing acidosis
Renal Failure
Intervention: ventilation; sodium bicarb
• ECG Clues for HyperKalemia or Hypokalemia
Answer:
Hyper:
-tall, peaked T waves
-P waves get smaller
-QRS widens
-sine wave PEA
Hypo:
-flattened T waves
-prominent U waves
-QRS widens
-QT prolongs
-Wide complex tachycardia
• History/Physical Clues for Hyper/HypoKalemia
Answer:
HYPER:
-history of renal failure
-diabetes
-recent dialysis
-dialysis fistulas
-medications
HYPO:
-abnormal loss of potassium
-diurectic use
• Effective Interventions for Hyper/HypoKalemia
Answer:
HYPER:
, -Calcium chloride
-Sodium Bicarb
-Glucose plus insulin
-Possibly albuterol
HYPO:
add magnesium if cardiac arrest
• ECG Clues for Hypothermia
Answer: J or Osborne waves
• History/Physical Clues for Hypothermia
Answer: history of cold exposurecentral body temp
• T's
Answer:
Tension pneumothorax
Tamponade, cardiac
Toxins (drug overdoses)
Thrombosis (pulmonary)
Thrombosis (cardiac-MI)
• ECG Clues for Tension pneumothorax
Answer: narrow complexslow rate (Hypoxia)
• Primary Survey
Answer: ABCD
A-airway
B-breathing
C-circulation
D-defibrilation
• Secondary Survey
Answer: IAID
I-intabate (if resp. arrest or can't get good venitlaiton)
A-access airway
I-IV/IO access for Drugs
D-differential diagnosis (H's & T's)
• What do you do with a non responsive patient?
Answer: 1st survey, then secondsurvey
• Med Administration
Answer:
-IV access: large bore 18 g
• ECG Clues for Hydrogen Ions (acidosis)
Answer: Smaller-amplitude QRS Complexes
• History/Physical Clues for Hydrogen Ions & Effective Intervention
Answer:
Historyof diabetes
Bicarb responsive pre-existing acidosis
Renal Failure
Intervention: ventilation; sodium bicarb
• ECG Clues for HyperKalemia or Hypokalemia
Answer:
Hyper:
-tall, peaked T waves
-P waves get smaller
-QRS widens
-sine wave PEA
Hypo:
-flattened T waves
-prominent U waves
-QRS widens
-QT prolongs
-Wide complex tachycardia
• History/Physical Clues for Hyper/HypoKalemia
Answer:
HYPER:
-history of renal failure
-diabetes
-recent dialysis
-dialysis fistulas
-medications
HYPO:
-abnormal loss of potassium
-diurectic use
• Effective Interventions for Hyper/HypoKalemia
Answer:
HYPER:
, -Calcium chloride
-Sodium Bicarb
-Glucose plus insulin
-Possibly albuterol
HYPO:
add magnesium if cardiac arrest
• ECG Clues for Hypothermia
Answer: J or Osborne waves
• History/Physical Clues for Hypothermia
Answer: history of cold exposurecentral body temp
• T's
Answer:
Tension pneumothorax
Tamponade, cardiac
Toxins (drug overdoses)
Thrombosis (pulmonary)
Thrombosis (cardiac-MI)
• ECG Clues for Tension pneumothorax
Answer: narrow complexslow rate (Hypoxia)
• Primary Survey
Answer: ABCD
A-airway
B-breathing
C-circulation
D-defibrilation
• Secondary Survey
Answer: IAID
I-intabate (if resp. arrest or can't get good venitlaiton)
A-access airway
I-IV/IO access for Drugs
D-differential diagnosis (H's & T's)
• What do you do with a non responsive patient?
Answer: 1st survey, then secondsurvey
• Med Administration
Answer:
-IV access: large bore 18 g