Flashcards
ACLS CARDS
Cards in this deck (24)
- 1How hard and how fast should you push during CPRgreater than or = to 2 inches and =to or greater than 100 per minute
- 2How do I remember V-tachtombstones
- 3Is V tach a shockable rhythmyes
- 4what is the shock energy using monophasic defibrillatorinitial dose is 120-200 J then 2nd and subsequent doses should be equivalent/higher doses considered
- 5what is the defibrillator monophasic shock energy level360 J
- 6what drugs/doses can be used in VF/VTepinephrine 1mg q 3-5 min
amiodarone 300mg first dose
150 mg 2nd dose - 7what drug can be given at what dose place of epi during vt/v-fibvasopressin(potent vasoconstrictor) 40U can replace 1st or second dose of epi
- 8what are the 5 H's that may be correctable causes of cardiac arresthypovolemia
hypoxia
hydrogen ion (acidosis)
hypothermia
hyper/hypo kalemia - 9what are the five T's that may be correctable causes of cardiac arresttension pneumothorax
tamponade,cardiac
toxins
thrombosis,pulmonary
thrombosis,coronary - 10how often should you rotate compressorsq 2 minutes
- 11WHAT IS THE COMPRESSION TO VENTILATION RATIO IN THE ABSCENCE OF AN ADVANCED AIRWAY30/2
- 12IS ASYSTOLE A SHOCKABLE RHYTHMNO
- 13WHAT IS THE ASYSTOLE/PEA ALGORITHMCPR X 2 MIN
IV/IO ACCESS
EPI Q 3-5 MIN
CONSIDER ADVANCED AIRWAY C CAPNOGRAPHY
RECHECK RHYTHM
IF NOT SHOCKABLE CONTINUE CPR AND REPEAT EPI - 14WHAT IS CONSIDERED A BRADYARRHYTHMIA AND WHAT SYMPTOMS INDICATE "SYMPTOMATIC"HEART RATE TYPICALLY <50/MIN
HYPOTENSIVE/FEELS FAINT
COOL/CLAMMY/DIAPHORETIC
CHANGE IN MS (MENTAL STATUS) - 15what drugs/dose are given in adult bradycardiaatropine iv dose 0.5mg bolus
if atropine ineffective
****transcutaneous pacing*****
dopamine IV 2-10mcg/kg/min
epinephrine IV infusion 2-10mcg/min
A.D.E.
Consider
expert consultation
transvenous pacing - 16what is adult tachycardia with a pulse?Tachycardia is a faster than normal heart rhythm that is usually classified as narrow complex (QRS < 0.12 seconds on ECG) or wide complex (QRS > 0.12 seconds on ECG).
- 17what sx do unstable tachycardia causeUnstable tachycardia will cause hypotension, altered level of consciousness, symptoms of shock or chest pain
- 18what are the pulseless rhythmspulseless vtach
vfib
pea
asystole - 19what is the reason for using synchronized cardioversion and when is the electrical current activated?Synchronization avoids the delivery of a LOW ENERGY shock during cardiac repolarization (t-wave). If the shock occurs on the t-wave (during repolarization), there is a high likelihood that the shock can precipitate VF (Ventricular Fibrillation).
- 20What is the primary cause of V-Fib? What will V-Fib quickly evolve into?The primary cause of VF is hypoxia (lack of oxygen) to the heart muscle which causes hyperirritability in the cardiac muscle tissue.
- 21What are the core drugs/dosages given during VT/VF?-epi 1mg q 3-5min
-vasopressin 40U (can replace 1st or second dose of epi)
-amiodarone 300mg (1st dose)
150mg(2nd dose) - 22What is the quickest way to confirm PEA?Perform a pulse check (carotid or femoral)
- 23What is the most common cause of PEA?Hypovolemia
- 24What is done during asystole?CPR and Epi q 3-5 min
Information
- Description
- bachelors ACLS Flashcards on ACLS CARDS, created by ligginle on 07/08/2013.
- Created by
- ligginle
- Views
- 89
- Tags
- Rating