Details Title: 2009 Adult Cardiac EMS Protoco Description: Adult Cardiac Total Flash Cards: 11 Created: 12/25/2008 10:23:14		New Users: To study from this flashcard set, or to create your own your own study flash cards, REGISTER HERE. Existing Users: CLICK HERE. Additional Medical Flashcards
Cards in this set: Term Asystole: Definition Asystole:Common Causes: Hypoxia, Hypothermia, Trauma, Electrolyte Imbalance, Acidosis CPR (8-10 breaths/minute) Monitor IV Epi 1:10 = 1mg IV, IO Atropine: 1mg IV, IO Bicarb: 1mEq/kg IV, IO Term Bradycardia: Definition Bradycardia: 12 Lead (Trasmit) IV If Symptomatic with BP<90 Atropine: 0.5mg IVP, IO (Max 3mg) Pacing: Rate-80bpm Ativan: 1-2mg IVP, IO, MAD Conscious – 5mA & increase by 5mA Unconscious – 20mA & increase by 20mA Dopamine: 2-20mcg/kg/min Epi – Drip Term Chest Pain / MI: Definition Chest Pain / MI: Monitor - 12Lead - Transmit O2 Aspirin: 324mg PO IV (Bolus: 300-500mL if Hypotensive , JVD, CTA) NTG Spray x 3 (if BP > 90) NTG Paste x 1” Fentanyl: 50-100mcg IV, IO q 20mins If PVC’s, HR>60, without 2nd or 3rd degree Block Lidocaine: 1.5mg/kg IV, IO, ET Lidocaine Drip (2gm>500mL then 2mg/min) If PVC’s persist, see PVC Protocol Term Dialysis Patients in Cardiac Arrest: Definition Dialysis Patients in Cardiac Arrest: CPR Sodium Bicarb: 100mEq IV, IO Flush with 50-100mL NS Calcium Chloride: 1gm IV, IO Go to Appropriate ACLS Protocol Term Hypertension: Definition Hypertension: Diastolic > 140mgHg or > 120mgHg with Sx’s IV Monitor – 12 Lead - Transmit Nitro Spray: x 3 until Diastolic < 100mgHg NTG Paste: 1” If Systolic < 90: Fluid Bolus: 300-500ml   Term Narrow Complex Tachycardia: (PSVT) Definition Narrow Complex Tachycardia: (PSVT) Monitor – 12 Lead – Transmit IV Stable: Valsalva Maneuver: Initially & after each Rx      Adenosine: 6mg IV Adenosine: 12mg IV Adenosine: 12mg IV Unstable: Ativan: 1-2mg IV, IO, MAD Cardioversion: 50, 100, 200, 300, 360J Term PEA: Definition PEA:Hypoxia / Hypothermia / Trauma / Electrolyte Imbalance  Pneumothorax / OD / HyperK+ CPR IV Monitor – 12 Lead – Transmit Epi 1:10 = 1mg IV, IO Atropine: 1mg IV, IO if < 60bpm (Brady) Fluid Bolus: 300-500mL Consider: Hypoglycemia: Dextrose 50% 25gm 50mL IV, IO Hypovolemia: Fluid Bolus Hypoxia: O2, BVM Hypothermia Tension Pneumo: Decompression HyperK+: Acidosis, Tricyclic OD: Sodium Bicarb 1mEq/kg IV, IO Term Post Arrest: Definition Post Arrest:Semi-Trendelenburg IV Fluid Bolus Monitor – 12 Lead – Transmit Vitals q 3-5mins Pulse Ox & Capnography Induce Hypothermia Hypotension: Fluid Bolus: 300-500ml Dopamine: 2-20mcg/kg/min Ectopy: Lidocaine: 1-1.5mg/kg IV, IO See PVC Protocol Bradycardia: Treat per Brady Protocol    Term Premature Ventricular Contractions (PVC’s): Definition Premature Ventricular Contractions (PVC’s): Monitor – 12Lead – Transmit IV If HR >60bpm: Suspected AMI, PVC’s >6min, R on T,More than 2 PVC’s in Succession Lidocaine: 1-1.5mg/kg IV, IO ET Double the Dose: 2-2.5mg/kg If; AMI, CHF, Circulatory Shock, Liver Dysfx, >70yo: Lidocaine: 0.5-0.75mg/kg IV, IO If PVC’s Persist: Rebolus after 10mins: Lidocaine: 0.5-0.75mg/kg IV, IO Max 3mg/kg PVC’s Resolved: Lidocaine Drip: 2-4mg/min   Term V-Fib / Pulseless V-Tach: Definition V-Fib / Pulseless V-Tach: Monitor – 12Lead – Transmit Witnessed: Defib 200J CPR x 2mins Not Witnessed: CPR x 2mins Defib: 200J Both: IV Airway Epi 1:10 = 1mg IV, IO q 3mins Defib: 300J CPR x 2mins Amiodarone: 300mg IV, IO Defib: 360J CPR x 2mins Amiodarone: 150mg IV, IO Consider: Bicarb 1mEq/kg IV, IO Mag Sulfate 1-2gm IV, IO Defib: 360 CPR x 2mins Meds & Defib: 360J Term Wide Complex Tachycarda (V-Tach w/Pulse): Definition Wide Complex Tachycarda (V-Tach w/Pulse): Monitor – 12Lead – Transmit IV Stable: Amiodarone: 150mg in 100ml over 10mins Unstable: Ativan 1-2mg IV, IO, MAD Cardioversion: 100, 200, 300, 360J Amiodarone: 150mg in 100ml over 10mins