ACLS
In cardiac arrest while do you first introduce scientific intervention? Which drug? - ANSafter 2
rounds of CPR/surprise
after second surprise provide 1 mg epinephrine every 3-5 mins
when do you introduce amiodarone at some point of cardiac arrest? - ANSafter the third
surprise provide three hundred mg bolus of amiodarone
if 2d dose is wanted provide 150mg as second dose
what rhythms are shockable in cardiac arrest - ANSVF
VT
what rhythms are not shockable in cardiac arrest - ANSasystole
PEA
if you are in an unshockable rhythm arrest when do you supply epi - ANS1mg epi every 3-5
minutes after 1st spherical of CPR
what do you do after return of spontaneous movement - ANSmaintain O2 sat at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
if in coma do not forget hypothermia
if no longer in coma and ekg shows STEMI or AMI recollect re-perfusion
what are the five h's and five t's - ANShypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
anxiety pneumothorax
tamponade, cardiac
pollution
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic bradycardia - ANSmonitor and look at
what constitutes symptomatic bradycardia - ANShypotension
altered intellectual reputation
symptoms of shock
, chest ache
acute coronary heart failure
how do you treat symptomatic bradycardia - ANS1. Supply zero.5mg atropine each 3-five mins
to max of 3mg
if that does not paintings strive one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg/minute epinephrine infusion
what's considered a tachycardia requiring treatment - ANSover 150 in step with minute
whilst do you recollect cardioversion - ANSif chronic tachycardia is causing:
hypotension
altered intellectual reputation
symptoms of shock
chest pain
acute coronary heart failure
if chronic tachycardia does no longer present with signs what do you want to recall - ANSwide
QRS?
Greater than 0.12 seconds
If chronic tachycardia with out signs DOES have a wide QRS what to do you do? - ANSIV
access and 12 lead if to be had
6mg adenosine accompanied by means of NS flush simplest IF regular and monomorphic
consider anti-arrhythmic infusion:
- 20-50mg/min procainamide (max 17mg/kg)
- 150mg amiodarone over 10 mins
- 100mg sotalol over five minutes
which anti-arrhythmic pills can be used if extended QT - ANSonly amiodarone
150mg over 10 mins, repeat if VT occurs
comply with by way of maintenance infusion 1mg/min for first 6 hours
if continual tachycardia without signs and without extensive QRS what do you do - ANSIV get
admission to and 12 lead EKG if available
vagal maneuvers
6mg adenosine observed by means of NS flush best IF ordinary
In cardiac arrest while do you first introduce scientific intervention? Which drug? - ANSafter 2
rounds of CPR/surprise
after second surprise provide 1 mg epinephrine every 3-5 mins
when do you introduce amiodarone at some point of cardiac arrest? - ANSafter the third
surprise provide three hundred mg bolus of amiodarone
if 2d dose is wanted provide 150mg as second dose
what rhythms are shockable in cardiac arrest - ANSVF
VT
what rhythms are not shockable in cardiac arrest - ANSasystole
PEA
if you are in an unshockable rhythm arrest when do you supply epi - ANS1mg epi every 3-5
minutes after 1st spherical of CPR
what do you do after return of spontaneous movement - ANSmaintain O2 sat at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
if in coma do not forget hypothermia
if no longer in coma and ekg shows STEMI or AMI recollect re-perfusion
what are the five h's and five t's - ANShypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
anxiety pneumothorax
tamponade, cardiac
pollution
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic bradycardia - ANSmonitor and look at
what constitutes symptomatic bradycardia - ANShypotension
altered intellectual reputation
symptoms of shock
, chest ache
acute coronary heart failure
how do you treat symptomatic bradycardia - ANS1. Supply zero.5mg atropine each 3-five mins
to max of 3mg
if that does not paintings strive one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg/minute epinephrine infusion
what's considered a tachycardia requiring treatment - ANSover 150 in step with minute
whilst do you recollect cardioversion - ANSif chronic tachycardia is causing:
hypotension
altered intellectual reputation
symptoms of shock
chest pain
acute coronary heart failure
if chronic tachycardia does no longer present with signs what do you want to recall - ANSwide
QRS?
Greater than 0.12 seconds
If chronic tachycardia with out signs DOES have a wide QRS what to do you do? - ANSIV
access and 12 lead if to be had
6mg adenosine accompanied by means of NS flush simplest IF regular and monomorphic
consider anti-arrhythmic infusion:
- 20-50mg/min procainamide (max 17mg/kg)
- 150mg amiodarone over 10 mins
- 100mg sotalol over five minutes
which anti-arrhythmic pills can be used if extended QT - ANSonly amiodarone
150mg over 10 mins, repeat if VT occurs
comply with by way of maintenance infusion 1mg/min for first 6 hours
if continual tachycardia without signs and without extensive QRS what do you do - ANSIV get
admission to and 12 lead EKG if available
vagal maneuvers
6mg adenosine observed by means of NS flush best IF ordinary
