Term
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Definition
Cardiac Arrest
Sxs Bradycardia
Hypotension
Anaphylaxis
Asthma |
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Term
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Definition
| HTN, Angina, Hyperthyroidism |
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Term
| Two methods of Epi supply? |
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Definition
1:10,000 (IV/IO)
1: 1,000 (ET) |
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Term
| Epi dose for Cardiac Arrest? |
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Definition
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Term
| Epi dose for anaphylaxis? |
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Definition
| 0.5mL IM inj for adults 0.3mL IM inj for peds |
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Term
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Definition
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Term
| Indications for Lidocaine? |
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Definition
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Term
| Contraindications for Lidocaine? |
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Definition
| Allergy, Bradycardia, second and third degree heart block, idioventricular rhythms |
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Term
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Definition
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Term
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Definition
| IV solution = 2% concentration (100mg/5mL) |
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Term
| Dosing for arrhythmic conversion using lidocaine? |
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Definition
1-1.5 mg/kg
Reduce by ½ for patients > 70, CHF, Shock
If 1.5 mg dose put maintenance drip at 2.0 (0.5 higher than was needed to convert them) |
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Term
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Definition
| HTN, Numbness, Drowsy, Seizures (elderly and HF) |
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Term
| Indications for Amiodarone? |
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Definition
VF & Pulseless VT refractory to CPR, Shock delivery and Vasopressor
SVT refractory to other tx |
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Term
| Contraindications of Amiodarone? |
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Definition
Hypersensitivity,
cardiogenic shock,
second and third degree heart block,
marked sinus brady |
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Term
| Method of supply of Amiodarone? |
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Definition
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Term
| Dosage of Amiodarone for VT w/a pulse? |
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Definition
| 150mL drip over 10 min (3mL or 1 ampule given) |
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Term
| Dosage of Amiodarone for SVT refractory to other tx? |
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Definition
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Term
| Dosage of Amiodarone for VF? |
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Definition
first dose = 300 mg IV/IO push (2 ampuls or 6mL)
second dose = 150 mg IV/IO push (1 ampul or 3 mL) |
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Term
| Indications for Adenosine? |
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Definition
| SVT, WPW (Wolfe-Parkinson White), |
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Term
| Contraindications to Adenosine usage? |
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Definition
Second and third degree heart block,
sick sinus syndrome, asthma pts
wandering pacemaker |
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Term
| Methods of Adenosine supply? |
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Definition
| Rapid IV bolus = 6mg/2mL prep |
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Term
| Dose of Adenosine for tx of SVT? |
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Definition
First dose 6 mg Rapid IV bolus followed by 20mL NS flush
Second dose 12 mg Rapid IV bolus followed by 20mL NS flush |
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Term
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Definition
| Palpitations, facial flushing, HA, CP, hypotension, SOB, tingling and numbness of extremities |
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Term
| Indications for Nitroglycerin? |
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Definition
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Term
| Contraindications of NTG? |
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Definition
Early MI,
severe anemia,
↑ ICP,
use of PD5 inhibitors |
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Term
| Method of supply for Nitro? |
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Definition
Sub Lingual - 0.3 - 0.6mg/tab
Spray - 400mcg per spray |
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Term
| Dosing of Nitroglycerin for ACS or Angina? |
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Definition
SL - One 0.4mg tab q 5 min until pain is relieved
Spray - 1 MID q 5 min until pain is relieved |
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Term
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Definition
| HA, flushing, lightheaded, dizziness, CP, Pale skin |
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Term
| Indications for Morphine Sulfate? |
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Definition
CP unresponsive to nitrate
Pulmonary edema |
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Term
| Contraindications of Morphine? |
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Definition
| Significant respiratory depression, paralytic ileus |
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Term
| Method of supply for Morphine? |
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Definition
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Term
| dosing of Morphine for ACS with CP unresponsive to Nitro? |
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Definition
Initial dose 2-4 mg over 1 to 5 minutes every 5 to 30 minutes
Repeat dose 2 to 8 mg at 5 to 15 minute intervals |
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Term
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Definition
| Respiratory depression, hypotension, |
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Term
| FIRST-LINE Tx (pharmacological) for VF or pulseless VT? |
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Definition
| Epinephrine 1mg rapid infusion followed by 20mL NS bolus |
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Term
| SECOND-LINE vasopressor for VF or pulseless VT? |
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Definition
| Vasopressin 40 units IV/IO push |
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Term
| Tx for VF or pulseless VT refractory to CPR, shock and vasopressor? |
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Definition
Amiodarone
- 1st Dose = 300mg IV/IO push (followed by 20mL NS bolus)
- 2nd dose = 150mg IV/IO push (followed by 20mL NS bolus) |
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Term
| FIRST-LINE Tx (pharmacological) for symptomatic bradycardia (not caused by hypoglycemia or hypovolemia)? |
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Definition
| Atropine 0.5mg IV every 3 - 5 min |
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Term
| SECOND-LINE Tx (pharmacological) for symptomatic bradycardia (not caused by hypoglycemia or hypovolemia)? (two of them) |
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Definition
Dopamine 2-10mcg/kg per min
Epinephrine 2 - 10mcg/kg per min |
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Term
| SECOND-LINE non-pharmacological tx for symptomatic bradycardia (not caused by hypoglycemia or hypovolemia)? |
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Definition
| Transcutaneous Pacing (begin at rate of 70bpm and current of 70J) - Make sure to confirm electrical and mechanical capture |
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Term
| FIRST-LINE Tx (pharmacological) for Asystole or PEA? |
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Definition
| Epinephrine 1mg q 3 - 5 min (followed by 20mL NS bolus) |
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Term
| FIRST-LINE Tx for SYMPTOMATIC tachycardia w/pulse and narrow regular rhythm? |
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Definition
narrow regular = SVT
Valsalva/Vagal or Adenosine 6mg as rapid IV push followed by 20mL NS bolus. (IF rhythm doesn't convert give 12mg of Adenosine) |
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Term
| FIRST-LINE Tx for SYMPTOMATIC tachycardia w/pulse and narrow irregular rhythm? |
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Definition
Narrow Irregular = A-fib
Synchronized Cardioversion 120J (120J to 200J for Biphasic) OR 200J for Monophasic |
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Term
| FIRST-LINE Tx for SYMPTOMATIC tachycardia w/pulse with wide regular rhythm? |
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Definition
wide, regular rhythm = V-Tach (w/pulse) or SVT
Synchronized Cardioversion with 100J |
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Term
| FIRST-LINE Tx for SYMPTOMATIC tachycardia with wide irregular rhythm? |
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Definition
wide irregular = PVT, a-fib with aberrancy
Tx with UNsynchronized Defibrillation Dose
Biphasic 200J - 300J
Monophasic 360J |
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Term
| FIRST-LINE Tx for UNsymptomatic tachycardia w/pulse and regular narrow QRS? |
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Definition
| Adenosine 6mg rapid IV infusion followed by 20mL NS push (second dose of 12mg may be necessary if 1st dose is unsuccessful) |
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Term
| FIRST-LINE Tx for UN-Symptomatic tachycardia w/pulse and wide, regular and monomorphic rhythm? |
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Definition
Amiodarone - 150mg over 10 min (Repeat as needed if VT reoccurs)
Maint. Dose = 1mg/min for 6 hrs |
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Term
| FIRST-LINE Tx for UN-Symptomatic tachycardia w/pulse and with wide, polymorphic VT? |
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Definition
Magnesium sulfate
-Loading dose of 1 - 2g mixed in 50 to 100mL of D5W over 5 to 60 min |
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Term
| FIRST-LINE Tx for UN-Symptomatic tachycardia w/pulse and wide complex? |
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Definition
Amiodarone
1st dose - 150mg over 10 min; repeat as needed if VT reoccurs.
Maint Infusion - 1mg/min for first 6 hrs |
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Term
| SECOND-LINE Tx for UN-Symptomatic tachycardia w/pulse and wide regular QRS? |
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Definition
| Procainamide - 20 -50mg/min until arrhythmia suppressed, hypotension occurs, QRS duration increases (>50%) Sotalol - 100mg (1.5mg/kg) over 5 min |
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Term
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Definition
O-Oxygen
A - ASA 325mg chewable
N - 1 MID of Nitro spray or 0.4mg SL tab q 5 min
M - Morphine 2- 4 mg titrated to effect (dilute in 10cc and push over 10 min. |
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Term
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Definition
| early reperfusion w/ fibrinolytic or PCI |
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Term
| Absolute contraindications for fibrinolytic therapy? |
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Definition
Intracranial hemorrhage
AV malformation
Intercranial neoplasm
Ischemic stroke w/in last 3 months
Suspected aortic dissection
Active bleeding or bleeding diathesis
Significant closed head trauma or facial trauma w/in 3 mon |
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Term
| Treatment for ST depression or t-wave inversion? |
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Definition
| Nitro or Heparin; PCI (Stent, drill, balloon) |
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Term
| Treatment for ischemic stroke? |
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Definition
tPA (altepase) 0.9mg/kg (Max dose 90mg)
- 10% of med delivered in bolus over 1 min
- 90% over 60 min |
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