Lab Review
What color is a CBC laboratory tube?
Purple
What medications are available in the crash cart for anaphylaxis?
EpiPen, epinephrine 1:1000, hydrocortisone, IV fluids, vasopressors
When would we used a synchronized cardioversion?
Stable SVT
Rate 100-120 beats/min, 2 inches
My IV infiltrated! What are emergency routes of medication administration?
Intraosseous, endotracheal tube, intramuscular
What color is a lactate laboratory tube?
Gray
Patient is found to be hyperkalemic, what medications are in crash cart for hyperkalemia?
Calcium Chloride, sodium bicarbonate, dextrose (to be given with insulin)
How many joules are used for initial synchronized cardioversion in stable SVT?
50 Joules
CPR was just initiated by the 5 foot tall medical student my himself, how can we help him improve his chest compressions once we bring in the crash cart?
Use backboard, give step stool, put bed in CPR mode/mattress deflation, flatten bed
Massive transfusion is called. What is the largest bore venous access you can achieve with the crash cart?
14g PIV. Flow rate 300ml/min by gravity
What color is the tube for INR, PTT, PT?
Blue
Which medication would you give for torsades des pointes?
Magnesium
What two rhythms do we defibrillate?
Ventricular tachycardia, ventricular fibrillation
Patient just went into SVT and continues to tell you about his kids, what are three treatments?
vagal maneuver, amiodarone, metoprolol/esmolol, diltiazem, synchronized cardioversion
Name three treatments in acute coronary syndrome.
MONA: morphine, oxygen, nitroglycerin and aspirin
What diagnostic lab can be used to assess for acidosis?
Arterial blood gas
What is the reversal for opioids?
narcan (Naloxone)
What is the first medication to administer for asystole?
Epinephrine
Hypovolemia, hypoxemia, hyperkalemia, hypocalcemia, H+ (acidosis), hypothermia, hyperthermia, hypoglycemia
Your patient just went into ventricular fibrillation and you called a code. What intervention should be initiated immediately to increase chance of survival?
Defibrillation
What color tube is used to check troponin level?
Dark Green
What is the reversal for benzodiazepines?
Romazicon (Flumazenil)
Why do we use synchronized cardioversion for stable SVT?
To avoid R-on-T phenomenon
Name 2 T's in the ACLS algorithm.
Tension pneumothorax, thrombosis, toxins, tamponade
How do we disable a patient's pacemaker while in a code?
place the magnet on it