ACS/STROKE
Rhythms And Initial RX
Drugs and Dosage
Algorhythms
MISC.
100
What test is a priority when patient's are having CP?
EKG!
100
-No Pulse Detected.
Rhythm: PEA
RX: CPR
100
What is the first line drug (vagolytic) used to treat symptomatic bradycardia?
Drug: Atropine
Dose: 1 mg (3mg max)
100
What type of rhythm's require Synchronized Cardioversion?
All unstable tachycardia rhythms.
100
What is the gold standard for a successful intubation?
Waveform Capnography.
200
What test is a priority when patient's have had a positive Cincinnati Prehospital Stoke Scale assessment?
CT Scan.
200
All vitals Normal!
Rhythm: SVT
RX: VAGAL MANUEVER
200
What is the first line drug in cardiac arrest?
Drug:Epinepherine
Dose: 1mg
200
What is the treatment priority in PEA after chest compressions have been initiated?
Establish IV access and deliver Epinephrine?
200
What is the recommended ventilation rate for all patient's with a non-advanced and advanced airways?
1 breath every 6s (10) breaths per minute.
300
What are the 3 contraindications for administering Nitro?
1. Systolic BP<90
2. Phosphodiesterase Inhibitor use within 24-48 hours
3. Right Ventricular Involvement.
300
Rhythm:VENTRICULAR FIBRILLATION
RX: DEFIBRILLATION
300
What is the first line anti-arrythmic for VT/VF?
Drug: Amiodarone
Dose: 300mg
300
How many defibrillation's should be delivered prior to the administration of the first medication in cardiac arrest?
2 Defibrillations
300
What tool is used as an indicator of poor quality CPR?
PETCO of <10.
400
What are the 4 medications given to a pt having a STEMI?
1. Oxygen as needed
2. Aspirin 324mg
3. Nitro 0.4mg
4. Morphine 2-4mg
400
-Patient has a BP of 80/60.
Rhythm: V-Tach with a pulse
RX: Synchronized Cardioversion
400
What medication is recommended treatment for high degree heart blocks?
Transcutaneous Pacing
400
What is the recommendation with compressions and ventilations during cardiac arrest when a definitive airway is established?
Continuous compressions at a rate of 100-120 per/min and 1 breath every 6 seconds (10 breaths per min).
400
What is the target temperature of patient's who are under hypothermia management?
32-36 degree Celsius.
500
What potential complication can occur when administering Nitro to a patient with positive inferior MI?
Decreased pre-load due to ischemia of the inferior and posterior areas of the heart both of which are supplied by the RCA, ultimately leading to cardiac arrest.
500
-Pt has a BP of 60/40!
Rhythm: Complete Heart Block
RX: Transcutaneous Pacing
500
What is the medication used to treat patient's with stable SVT and unsuccessful vagal maneuvers?
Drug:Adenosine
Dose:6mg and 12mg
500
What is the main priorities after achieving ROSC?
1. Maintain oxygenation/ventilation
2. Perfusion
500
What are the two requirements needed to initiate hypothermia management?
1. Unresponsive
2. Intubated