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33 Cards in this Set
- Front
- Back
- 3rd side (hint)
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H's and T's |
Hypoxia, hyperkalemia, hypokalemia, acidosis, hypothermia, hypovolemic, toxins, cardiac tampons, tension pneumo, thrombosis |
Potassium |
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Bradycardia- S/S |
Hemodynamically unstable, hypotension, ams, SOB, chest pain, CHF |
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Bradycardia-protocol |
Symptomatic-atropine .5mg every 3-5 min max of 3mg. Unstable, pace. Pediatric- chest compression if under 60bpm. Epi 0.01mg/kg, atropine 0.02mg/kg |
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Pacing |
Sedate: ativan 2mg/versed 2mg/valium 5mg Start with MA |
What drugs |
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Bradycardia-notes |
Dopamine: 5-10mcg/kg/min Epi: 2-10mcg/min Skip atropine for high degree heart blocks |
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Classic anginal chest pain |
Central anterior pain Chest pressure Crushing, radiates |
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Atypical chest pain |
Epigastric discomfort Musculoskeletal Unilateral |
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Anginal equivalent |
Palpitations Fainting DKA |
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ACS-s/s |
Sudden onset of diaphoresis Anxiety, restless, doom, n/v, abnormal vitals |
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ACS-TX |
Aspirin 162-324mg Ntg -0.4 mg (systolic >90mmhg) Morphine 2mg (systolic >90, resp >12, pulse >60) |
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STEMI |
Ntg infusion- 10mcg/min (3cc/hr) Stemi checklist V4R Under 20yr withhold ntg unless positive Follow hypotension protocol |
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SVT Asymptomatic |
150bpm Vagal maneuvers Adenosine: 6mg/12mg Pediatric: 0.1mg/kg/0.2mg/kg Cardiziem:0.25mg/kg repeat at 0.35mg/kg |
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SVT symptomatic |
Follow stable protocol Sedate: valium 5mg/versed 2mg/ativan 2mg Cardiovert 50,100,150 |
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V-fib/V-tach |
CPR Defib: 150j (ped: 2j/kg) Resume CPR Defib: 150j (ped:4j/kg)(every 2min) Epi: 1mg e 3-5 min (ped: 0.01mg/kg) Amiodarone: 300mg (ped:5mg/kg) Consider:500cc bolus, narcan, SB |
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Torsades-pulseless |
Mag sulfate: 2g in 50ml in d5w infused over 1-2 min Ped:50mg/kg |
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V-tach with pulse stable vs unstable |
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V-tach tx |
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Airway obstruction |
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AMS |
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AEIOU-TIPS |
Alcohol, epilepsy, insulin, overdose, underdose, trauma, infection, psych, stroke |
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Anaphylaxis |
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Bronchospasm-protocol |
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CHF-protocol |
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Hypertension |
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Hypotension/shock |
Hypovolemia:hemorrhage, burns, dehydration cardiogenic: MI, CHF, Obstructive: tamponade, PE, aortic Distributuve: infection, sepsis, spinal |
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Hypotension/Shock protocol |
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Seizure-protocol |
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Stroke |
3 hrs-heartland 3-6: fly 6+: who cares |
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CNS depressant overdose |
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CNS stimulant /hallucinagen/tricylic |
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Autovent |
Set at 8ml/kg, bpm 10-12 Contraindications: less than 44lb, pneumo, pressure syndrome, under 14 |
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Pacing-how to |
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RSI |
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