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28 Cards in this Set
- Front
- Back
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EKG: VF or pulseless VT
next step? |
shock 360J
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EKG: VF or pulseless VT, no response to shock
next step? |
Epinephrine 1mg IVP q3-5min
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EKG: VF or pulseless VT, no response to shock, no response to Epi
next step? |
Amiodarone 300mg IVP, then 150mg IVP
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EKG: PEA
next step? |
Epinephrine 1mg IV bolus q3-5min
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EKG: PEA, no response to Epi and pt brady
next step? |
Atropine 1mg IV q3-5min
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Ddx of PEA?
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5H: hypo/hyperkalemic, hypotherm, hydrogen ion, hypox, hypovol,
5T: pulm thrombus, tablet OD, tamponade, myocardial thrombus, tension PTX |
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EKG: asystole
next step? |
Epinpehrine 1mg IVP q3-5min
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EKG: asystole, no response to Epi
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Atropine 1mg IV q3-5min
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EKG: type II 2nd degree AVB
next step? |
pacing
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EKG: 3rd degree AVB
next step? |
pacing
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EKG: 1st degree AVB, (-)Sx
next step? |
observe
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EKG: 1st degree AVB, (+)Sx
next step 4 steps? |
pacing
atropine 1mg IV q5min epinephrine 2-10mcg/min IV dopamine 5-20mcg/kg/min IV |
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EKG: a-flut, unstable
next step? |
cardioversion 50J
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EKG: paroxysmal SVT, unstable
next step? |
cardioversion 50J
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EKG: a-fib, unstable
next step? |
cardioversion 100J
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EKG: monomorph VT, unstable
next step? |
cardioversion 100J
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EKG: polymorph VT, unstable
next step? |
cardioversion 200J
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EKG: a-fib/a-flut
next step 2 steps? |
- Cardizem 20mg IV over 2min (EF > 40%) or Digoxin 0.5mg IVP
- overdrive pacing |
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EKG: paroxysmal SVT
next 4 steps? |
- vagal maneuver
- adenosine 6mg IVP - Verapamil 5mg IV (EF > 40%) or Amiodarone 150mg IV (EF < 40%) - cardioversion 50J |
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EKG: WPW
next 2 steps? |
- Amiodarone 150-300mg IV over 10-20min
- cardioversion 100J |
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EKG: wide complex tachy NOS
next 3 steps? |
- Adenosine 6mg IVP
- Amiodarone 150mg IV over 10min -cardioversion 100J |
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EKG: monomorph VT
next 3 steps? |
- Amiodarone 150-300mg IV
- Lidocaine 1mg/kg IVP q5-10min - cardioversion 100J |
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EKG: polymorph VT/Torsades
next 4 steps? |
- Mg 2-4g IV
- overdrive pacing - Lidocaine 1mg/kg IVP - cardioversion 200J |
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hypotension, CHF, pulm edema
hypovolemia next 2 step? |
- fluids/blood
- consider pressors |
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hypotension, CHF, pulm edema
pump failure SBP <70 next step? |
Dopamine 5-20mcg/kg/min IV
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hypotension, CHF, pulm edema
pump failure SBP 70-100 next step? |
Dopamine 5-20mcg/kg/min IV
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hypotension, CHF, pulm edema
pump failure SBP >100 next 5 step? |
- Dobutamine 2-20mcg/kg/min IV
- Lasix 1mg/kg IV - Morphine 2mg IV - Nitroglycerin SL 0.4mg tab q3-5min - oxygen suppl |
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hypotension, CHF, pulm edema
pump failure DBP>110 next step? |
- Nitroglycerin 10-20mcg/min IV
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