QUESTIONS AND ANSWERS
/. Supra ventricular Tachycardia (stable) - Answer-IV access,ECG,O2
Vagal maneuver
Adenosine 6mg RIVP
Adenosine 12mg RIVP
Cardizem 20mg/2min
Monitor patient
/.Supraventricular Tachycardia (unstable) - Answer-IV access, ECG, O2
Sedate: 10mg Valium IVP
Sync cadiovert
@100J, 200J, 300J, 360J
Monitor patient
/.Ventricular Tachycardia/Pulsed (Stable) - Answer-IV access, ECG, O2
Adenosine 6mg RIVP
Adenosine 12 mg RIVP
Amiodarone 150mg/10min
Monitor patient
/.Ventricular Tachycardia/Pulsed (unstable) - Answer-IV access, ECG, O2
Sedate: 10mg valium IVP
Sync Cardiovert
@ 100J, 200J, 300J, 360J
Monitor patient
/.Atrial Fibrillation/ <48hrs (stable) - Answer-IV access, ECG, O2
If RVR, Cardizem 20mg/ 2 min
Monitor Patient
/.Atrial Fibrillation/ <48hrs (unstable) - Answer-IV access, ECG, O2
Sync: Cardiovert
@ 200J, 300J, 360J
Monitor patient
/.Atrial Flutter (stable) - Answer-IV access, ECG, O2
If RVR, Cardizem 20mg/ 2 min
monitor patient
/.Atrial Flutter (unstable) - Answer-IV access, ECG, O2
Sync: Cardiovert
@100J, 200J, 300J, 360J
, Monitor patient
/.Sinus Tachycardia (Stable) - Answer-IV access, ECG, O2
Vagal maneuver
Consider underlying causes for tachy
Monitor Patient
/.All Bradycardias (unstable) - Answer-IV access, ECG, O2
Atropine .5mg IVP, q 3-5 mins, MAX 3mg
Transcutaneous Pacing (rate = 80)
*If TCP unavailable:
SBP> 100 Epi 2-10 mcg/min
SBP<100 Dopamine 2-20mcg/kg/min
/.Acute Coronary Syndrome - Answer-* ST segment elevation and/or chest pain
IV access, 12-lead ECG
SAMPLE history, vitals
oxygen- based on SPO2
Aspirin- 162-324 mg PO
Nitro- 0.4 spray/tablets SL
Fentanyl- 50-100 mcg IV
/.Malignant PVC's - Answer-IV access, EKG, O2
*oxygen typically supresses PVS's
Lidocaine 1-1.5 mg/kg IVP (initial dose)
Lidocaine 0.5-0.75 mg/kg IVP (subseq. doses)
Lidocain 2-4 mg/min (maint. drip)
*Donot give Lidocaine if bradycardic or hypotensive
/.Ventricular Tachycardia (pulseless) - Answer-Check Pulse
CPR 2min cycle
IV/IO Access, Airway mgmt
Check rhythm/ Pulse
Defib 360J
CPR 2 min cycle
Drug admin:
1. Epi 1:10 1 mg IVP
2. Amiodarone 300mg IVP
3. Epi 1:10 1 mg IVP
4. Amiodarone 150mg IVP
5. Epi 1:10 1mg IVP
*After each drug admin. start from Check Rhythm/Pulse