Cardiac Drugs
Your patient is complaining of chest pain. She has a normal mental status, HR 164, B/P 142/82, and O2 sat of 96%. You note narrow complex tachycardia on the monitor. After attempting vagal maneuvers, what drug and dose would you administer next?
Adenosine 6mg.
Your pt’s heart rate is 84. On the monitor you note a regular rhythm with p waves consistent with every beat. Your patient is in what rhythm?
Sinus
What is the first drug and dose that should be given in a cardiac arrest?
1mg of Epi 1:10
Absence of oxygen in the tissue or cells
Hypoxia
Your pt is in cardiac arrest and has an ETCO2 of 6 means what?
Improve chest compressions
What class of drug is Cardizem?
Calcium Channel Blocker
Your patient has a heart rate of 82 a regular regular but absent p waves with each qrs complex. What rhythm are they in?
Junctional
What is your first dose of Amiodarone in a cardiac arrest?
300mg IV/IO push
Condition in which liquid portion of the blood is too low.
Hypovolemia
Your patient is in cardiac arrest and has a spike in their ETCO2 of 60 means what?
ROSC. check pulse
Your patient is complaining of dizziness. He has a normal mental status, a HR of 42, BP 110/80, and O2 sat of 98%. You note sinus Bradycardia on the monitor. After administering 1L of NS, what drug could you administer next?
1mg of Atropine
Your patient is in a regular rhythm with a hr of 110. You note a “saw tooth” pattern where they should be p waves. What rhythm are they in?
A Flutter
What is your second dose of Amiodarone given in a cardiac arrest?
150mg IV/IO push
Pt’s core body temperature has fallen below 95F
Hypothermia
Your patient has been intubated following respiratory arrest. What target range do you want your CO2 levels to be?
35-45
Your pt is complaining of chest pain. You note V-tach w/pulse on the monitor. Your pt’s BP is 132/80, O2 sat 98%, HR 154 with a normal mental status. What drug and dose should be administered.
150mg in 100cc of D5W over 10 min
Your pt has a heart rate of 110 and regular. While assessing the p-waves you note that they are inverted. What rhythm is the pt in?
J Tach
What is the initial joule setting for a patient in cardiac arrest with a biphasic monitor?
200 joules
You can only hear lung sounds on one side of the pt’s chest
Tension Pneumothorax
A “shark fin” appearance on a waveform capnography is associated with medical conditions?
COPD, Asthma,
Your pt is in polymorphic V-Tach (torsades de pointes) in addition to your normal cardiac drugs what specific drug and dose must be given to treat this arrhythmia?
2g Mag
ST segment elevation in v1 and v2 is correlated with which type of MI?
What is the joule setting for a patient in asystole
None. CPR and Epi
The pericardial sac is filling with fluid
Cardiac Tamponade
Your pt is on a ventilator during a transport to a trauma center. During the transport you note “curare cleft” on their waveform capnography. What is this a sign of?
Pt is attempting to take a breath on their own.