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27 Cards in this Set
- Front
- Back
Stable AFib algorithm?
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Calcium Channel Blockers
diltiazem (cardizem) .25 mg/kg (avg. 20mg for 70kg dying pt.) Slow IVP 15-30 min. later .35 mg/kg SIVP maintenance drip 10 ml/hr |
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What are unstable cardiological clinical presentations?
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decreased LOC
S.O.B. chest pain Altered mental status Hypotension Inadequate perfusion LLS (looks like ****) |
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Unstable AFib algorithm?
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synchronized cardioversion
50-100 joules |
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What is the rate and rhythm for SVT?
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Over 150 bpm, fast and narrow, QRS, Pwaves may be hidden
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SVT unstable algorithm?
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synchronized cardioversion
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Stable SVT treatment algorithm?
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Adenosine (adenocard) 6mg RIVP
1-2min. later 12 mg RIVP 1-2min. later 12 mg RIVP |
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What is the treatment for Sinus Tach?
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Treat the underlying causes; supportive care.
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Sinus Brady algorithm?
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(All) Atropine- .5- 1.0 mg RIVP
(Trained) Transcutaneous Pacing (TCP)- 30-100 mA (Dogs) Dopamine 2-20 mcg/kg/min Drip (Eat) Epi drip 2-10 mcg/min (Iams) Isuprel (not currently used) 2-10 mcg/min Same as 2nd and 3rd Heart Block |
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2nd° Heart Block Type II (Mobitz Type II) Agorithm
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(All) Atropine- .5- 1.0 mg RIVP
(Trained) Transcutaneous Pacing (TCP)- 30-100 mA (Dogs) Dopamine 2-20 mcg/kg/min Drip (Eat) Epi drip 2-10 mcg/min (Iams) Isuprel (not currently used) 2-10 mcg/min Same as Sinus Brady and 3rd Heart Block |
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3rd° Heart Block Algorithm?
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(All) Atropine- .5- 1.0 mg RIVP
(Trained) Transcutaneous Pacing (TCP)- 30-100 mA (Dogs) Dopamine 2-20 mcg/kg/min Drip (Eat) Epi drip 2-10 mcg/min (Iams) Isuprel (not currently used) 2-10 mcg/min Same as Sinus Brady and 3rd Heart Block |
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What is the treatment for Sinus Tach, 2nd degree Type I (Wenckebach), ectopics, PVCs, PACs, PJCs?
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Treat underlying causes; supportive care.
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VFib Treatment Algorithm?
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Epi (1:10,000) 1mg IVP no max dose
Amiodarone 300 mg IVP Magnesium Sulfate 1-2 grams IVP Lidocaine - 1- 1.5 mg/kg (105 avg dose) Sodium Bicarb 1ml equivalent/kg (Reverses acidosis) Vasopressin - 40 units (not currently used) Same as Vtach |
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Pulseless V-tach Algorithm?
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Epi (1:10,000) 1mg IVP no max dose
Amiodarone 300 mg IVP Magnesium Sulfate 1-2 grams IVP Lidocaine - 1- 1.5 mg/kg (105 avg dose) Sodium Bicarb 1ml equivalent/kg (Reverses acidosis) Vasopressin - 40 units (not currently used) Same as VFib |
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Vtach w/pulse Algorithm?
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Amiodarone 150 mg SIVP (10 min)
if unstable then Synchro Cardio |
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PEA Algorithm?
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Epi 1mg IVP
Atropine 1mg max 3mg Sodium Bicarb Same as Asys, Idio, Agonal |
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Asystole Algorithm?
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Epi- 1mg IVP
Atropine - 1mg IVPmax 3mg Sodium Bicarb |
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Idioventricular Algorithm?
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Epi- 1mg IVP
Atropine - 1mg IVPmax 3mg Sodium Bicarb |
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Agonal arrhythmia algorithm?
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Epi- 1mg IVP
Atropine - 1mg IVPmax 3mg Sodium Bicarb |
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WPW- Wolff Parkinson White algorithm?
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No Calcium channelblockers(diltiazem)
shock over 150 if unstable |
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What does MONA mean?
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M - morphine (mso4)- 2-10 mg IVP titrate to pain
O- o2 4l/min N- Nitro .4mg SL A- aspirin (ASA) 324 mg PO (4 baby aspirin) |
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What does I See All Leads Stand for?
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I- Inferior- II,III,aVF
S- Septal- V1, V2 A- Anterior- V3, V4 L- Lateral- I, aVL, V5, V6 |
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What is the view used for most common M.I.'s?
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Inferior, II,III,aVF
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What is he view used for the most typically deadly MI conditions?
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Lateral- 1, aVL, v5, v6
because they show left ventricle |
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What are the hallmarks for BBB?
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Atrial rhythm and wide QRS
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What lead is used to identify lft or rt BBB?
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V1
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What is a hemi block?
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Block of the fasicles; fasicular block.
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What leads show fasicular blocks? What are the hallmarks?
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I,II,III-
up, down,down = LAFB down, up, up = LPFB |