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34 Cards in this Set
- Front
- Back
What is the treatment for polymorphic ventricular tachycardia?
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1st determine if electrolyte problem or drug toxicity. Then:
normal QTI give amiodarone--> cardioversion if unresolved long QTI give magnesium ---> overdrive pacing |
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What are the causes of Pulseless Electrical Activity?
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nemonic- 5H 5T
Hypovolemia Hypothermia Hypoxia Hydrogen ion (acidosis) Hyperkalemia (preexisting) Tablets/Toxins (overdose) Tamponade Tension pneumo Thrombosis (coronary) Thrombosis (pulmonary) |
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What ACLS meds can be given via endotracheal tube?
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Lidocaine
Atropine Narcan Epinephrine |
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Amiodarone is the first drug in the treatment of v-fib. T or F?
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True
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Name the causes of pulseless electrical activity.
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MI
Acidosis Tension pneumo Cardiac tamponade Hypovolemia Hypoxia Hypothermia Hyperkalemia Pulmonary embolism Overdose |
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Give the signs and symptoms produced by bradycardia or tachycardia that, if present, would cause you to consider the patient unstable.
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shock
shortness of breath persistent chest pain pulmonary congestion congestive heart failure (CHF) hypotension acute MI decreased level of consciousness |
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Why is procainamide less desirable than adenosine in the management of the stable patient with a wide complex tachycardia of uncertain origin?
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Procainamide has a greater potential for lowering BP and take longer to work
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What are the interventions for Pulseless Electrical Activity (PEA)?
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Problem
Epi 1mg IV q3-5m Atropine c brady 1mg IV q3-5m (max .04mg/kg) |
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How is a stable patient with ventricular tachycardia at 180 bpm managed?
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O2, IV with lidocaine 1-1.5 mg/kg/bolus. Repeat 0.5-0.75 mg/kg every 5 min to max dose of 3 mg/kg. If resolves give lidocaine infusion. If not consider cardioversion.
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What is the treatment for monomorphic ventricular tachycardia?
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Amiodarone
synchronized cardioversion |
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A patient with flat line on ecg needs DC cardioversion. T or F?
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False but be sure it's not fine v-fib.
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What is the treatment for PSVT without CHF?
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vagal maneuvers
adenosine verapamil DC cardioversion amiodarone |
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What is the treatment for PSVT with CHF?
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vagal maneuvers
adenosine DC cardioversion Digoxin Amiodarone Diltiazem |
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Calcium chloride is the antidote for dig toxicity. T or F?
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false
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What is the nemonic commonly used for initial treatment of tachycardic rhythms?
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O MI (oh my!)
O2 Monitor IV |
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What is the treatment for serious bradycardia (<60bpm)and/or brady c serious signs/symptoms?
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nemonic- All trained dogs eat Iams
Atropine .5-1mg IV push q3-5m (max .03-.04mg/kg) Trans Cutaneous Pacing (TCP) Dopamine 5-20 ug/kg/min Epi 2-10 ug/min Isoproterenol ug/min |
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Bradycardias should always be treated in the setting of an MI. T or F?
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False
unless they are symptomatic (ie hypotension, short of breath etc.) |
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Hyperventilation is used to manage increased intracranial pressure. T or F?
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True
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What is the treatment for ventricular fibrillation and pulseless v-tach?
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nemonic- Please Shock Shock Shock EVery Body Shock And Lets Make Patients Better.
Precordial thump 200 joules 200-300 joules 360 joules (2ndary survey) Epinephrine 1mg IV q3-5 min Vasopressin 40 U IV one time (wait 10-20 before epi again) Amiodarone 300mg IV push (repeat 1x 150 mg in 3-5 min max 2.2g IV in 24h) Lidocaine 1.0-1.5 mg/kg IV (repeat in 3-5 min max 3mg/kg) Mag sulfate 1-2g IV 2min push (if susp hypomag or torsade) Procainamide 30mg/min or 100mg boluses q 5 min (max 17mg/kg) Bicarb 1mEq/kg for preexisting hyperkalemia, bicarb resp acidosis, overdose) |
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Can I use these cards as my primary knowledge base for ACLS?
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NO! Much has not been covered. And, sadly, I am human and make mistakes. You must research ACLS and check local protocol.
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Verapamil should be avoided in WPW with atrial fibrillation. T or F?
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True
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Atropine when given intravenously is administered rapidly. T or F
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True
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What drugs are avoided in WPW?
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adenosine
beta-blockers calcium channel blockers digoxin |
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What is the first antidysrhythmic administered in v-fib?
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lidocaine
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What is the treatment for asystole?
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nemonic- Check another lead and have TEA
Transcutaneous Pacing Epinephrine 1mg IV q3-5m Atropine 1mg IV q3-5m (max .04mg/kg) |
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Verapamil should not be used in a wide-complex tachycardia of unknown origin. T or F?
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True
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What is the treatment for atrial fibrillation/flutter?
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Diltiazem
non emergent cardioversion is avoided |
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Did the author come up with these questions on his own?
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Only if I want to admit to plagiarism. Some of the questions are mine. Some are from WWW.ACLS.net (a great resource!) The others have come from various books of study. I make no claim to their origin other than copying them for my personal use.
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What is the first two steps in the initial treatment of narrow complex tachycardias?
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Vagal maneuvers (if rate changes is probably PSVT)
Adenosine |
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What are the Narrow complex tachycardias?
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-Junctional
-Ectopic or multifocal -Paroxysmal Suprventricular Tach (PSVT) |
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What is the treatment for Junctional and ectopic tachycardia?
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vagal maneuvers
adenosine amiodarone |
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What is the treatment for Wolf-Parkinson White (WPW)?
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Amiodarone
cardioversion is avoided |
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Adenosine blocks conduction through the AV node. T or F?
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True
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When is v-fib or pulseless ventricular tachycardia termed refractory or persistent?
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if continues after CPR, intubation, ventilation, 4 defibs, and one or more doses of epi.
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