Summary MARK KLIMERK AUDIO NOTES 2019

Drawing TAP Levels (Peak and Trough) For drugs that have a narrow therapeutic level and are toxic Route determines TAP – Not the drug TROUGH PEAK IV 30 MIN BEFORE NEXT DOSE IV 15-30 min after its done IM 30 MIN BEFORE NEXT DOSE IM 30-60 min after its given SUB Q 30 MIN BEFORE NEXT DOSE Subling 5-10 min after its in the system PO 30 MIN BEFORE NEXT DOSE Heart Rhythms Ca Channel Blockers are chill pills for the heart  They end in DEPIM or ZEM Rhythms Asystole: No QRS – Lethal Flutter: Sawtooth Afib: Chaotic with QRS pattern Vfib: Chaotic without QRS pattern – Lethal Vent tachy: Wide bizarre QRS SVT: Narrow QRS PVC: random rhythm change – only concerned if 6 or 6 in a row Change in rhythm: check pulse or BP for cardiac output Mark Klimek Audio Notes 4 Treat ventriculars with lidocaine  V → L Treat SVT (it’s actually an atrial) A denosine – puts you in asystole for 20 seconds B eta bockers – all end it “lol” C a channel blockers D igitalis VFib: you DFib Asystole: epinephrine then atropine