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28 Cards in this Set
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Is there a difference between the asystole and PEA algorithms?
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Yes
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What is the difference between the asystole and PEA algorithms?
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The indications for giving atropine are different
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How many differences are there between the asystole and PEA algorithms?
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ONE!
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What is the difference between the indications for giving atropine in asystole and the indications for giving PEA?
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In the asystole algorithm you ALWAYS give atropine, and
in the Pulseless Electrical Activity (PEA) algorithm you only give atropine IF THERE IS A SLOW HEARTBEAT (<60 BPM) |
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What is the "Pulseless Electrical Activity" protocol for?
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No pulse WITH some type of heart rhythm on the ECG (Pulseless Electrical Activity).
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What is "Pulseless Electrical Activity"?
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A heart rhythm on the ECG, but the heart is not moving.
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What does "Pulseless Electrical Activity" look like?
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???, but ??? are the most common?
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What is the first step in the "Pulseless Electrical Activity" protocol?
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Secondary ABCD's
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What is the second step in the "Pulseless Electrical Activity" protocol?
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Two minute cycles of CPR (Check rhythm and pulse every two minutes?).
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What is the third step in the "Pulseless Electrical Activity" protocol?
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PEA
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What is PEA?
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The acronym for "Pulseless Electrical Activity" (And asystole).
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What does PEA stand for in the "Pulseless Electrical Activity" protocol?
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Problem Search
Epinephrine Atropine |
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How do you do a problem search?
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Use "PATCH(4) MDs".
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What does "PATCH(4) MDs" stand for?
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Pulmonary Embolism
Acidosis Tension Pneumothorax Cardiac Tamponade Hyperkalemia (Too much postassium) Hypokalemia Hypovolemia Hypoxia Myocardial Infarction Drugs shivering |
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What is the whole purpose of the problem search?
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For you to see if the the patient has any of the problems on the list, and treat them if possible.
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If necessary, what is the next step after "P" (Problem Search)in the "Pulseless Electrical Activity" protocol?
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"E"...GIVE epinephrine or vasopressin.
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How many times can you give vasopressin in the "Pulseless Electrical Activity" protocol?
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ONCE
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When can you use vasopressin in the "Pulseless Electrical Activity" protocol?
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To substitute for the first or second dose of epinephrine.
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How much epinephrine should you use for the "Pulseless Electrical Activity" (And asystole) protocols?
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1 mg IV/IO every 3-5 minutes
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If you choose to use vasopressin for the "Pulseless Electrical Activity" (And asystole) protocols, how much should you use?
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40 U IV or IO push (Must wait ten minutes before you give another drug?)
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In the "Pulseless Electrical Activity" protocol, how often should you give epinephrine?
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Every 3-5 Minutes
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What is the most epinephrine you should give in the "Pulseless Electrical Activity" protocol?
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???
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If necessary, what is the next step after "E" in the "Pulseless Electrical Activity" protocol?
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"A"...Atropine
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When should you give atropine in the "Pulseless Electrical Activity" protocol?
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Only if there is a slow heartbeat?
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How much atropine should you give for the "Pulseless Electrical Activity" and asystole protocols?
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1 mg IV or IO push every 3-5 minutes
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In the "Pulseless Electrical Activity" protocol (And asystole), how often should you give atropine?
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Every 3-5 Minutes
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What is the most atropine you should give in the "Pulseless Electrical Activity" protocol?
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3 mg
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What do pulseless electrical activity and asystole have in common?
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The heart is not moving, and therefore there is no pulse.
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