ACLS Heartcode Exam
in cardiac arrest when do you first after 2 rounds of CPR/shock
introduce medical intervention? which after 2nd shock give 1 mg epinephrine every 3-5 minutes
drug?
when do you introduce amiodarone after the 3rd shock give 300 mg bolus of amiodarone
during cardiac arrest? if second dose is needed give 150mg as second dose
what rhythms are shockable in cardiac VF
arrest VT
what rhythms are not shockable in cardiac asystole
arrest PEA
if you are in an unshockable rhythm arrest 1mg epi every 3-5 minutes after 1st round of CPR
when do you give epi
maintain O2 sat at 94%
treat hypotension (fluids vasopressor)
what do you do after return of
12 lead EKG
spontaneous circulation
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
, ACLS Heartcode Exam
hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
what are the 5 h's and 5 t's
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic monitor and observe
bradycardia
hypotension
altered mental status
what constitutes symptomatic bradycardia signs of shock
chest pain
acute heart failure
, ACLS Heartcode Exam
1. give 0.5mg atropine every 3-5 mins to max of 3mg
how do you treat symptomatic if that doesn't work try one of the following:
bradycardia transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg/minute epinephrine infusion
what is considered a tachycardia requiring over 150 per minute
treatment
if persistent tachycardia is causing:
hypotension
altered mental status
when do you consider cardioversion
signs of shock
chest pain
acute heart failure
if persistent tachycardia does not present wide QRS?
with symptoms what do you need to greater than 0.12 seconds
consider
in cardiac arrest when do you first after 2 rounds of CPR/shock
introduce medical intervention? which after 2nd shock give 1 mg epinephrine every 3-5 minutes
drug?
when do you introduce amiodarone after the 3rd shock give 300 mg bolus of amiodarone
during cardiac arrest? if second dose is needed give 150mg as second dose
what rhythms are shockable in cardiac VF
arrest VT
what rhythms are not shockable in cardiac asystole
arrest PEA
if you are in an unshockable rhythm arrest 1mg epi every 3-5 minutes after 1st round of CPR
when do you give epi
maintain O2 sat at 94%
treat hypotension (fluids vasopressor)
what do you do after return of
12 lead EKG
spontaneous circulation
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
, ACLS Heartcode Exam
hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
what are the 5 h's and 5 t's
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic monitor and observe
bradycardia
hypotension
altered mental status
what constitutes symptomatic bradycardia signs of shock
chest pain
acute heart failure
, ACLS Heartcode Exam
1. give 0.5mg atropine every 3-5 mins to max of 3mg
how do you treat symptomatic if that doesn't work try one of the following:
bradycardia transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg/minute epinephrine infusion
what is considered a tachycardia requiring over 150 per minute
treatment
if persistent tachycardia is causing:
hypotension
altered mental status
when do you consider cardioversion
signs of shock
chest pain
acute heart failure
if persistent tachycardia does not present wide QRS?
with symptoms what do you need to greater than 0.12 seconds
consider
