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ACLS Algorithms
Various algorithms
34
Health Care
Professional
07/29/2010

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Term
[image]
Definition
Your patient is in asystole. Discuss the treatment...
Term
[image]
Definition
Your patient is in Ventricular Fibrillation. Discuss the treatment...
Term
360 joules
Definition
When shocking a patient in Ventricular Fibrillation or in Pulseless Ventricular Tachycardia, how many joules would you shock with using a MONOPHASIC device?
Term
250 joules
Definition

 

When shocking a patient in Ventricular Fibrillation or in Pulseless Ventricular Tachycardia, how many joules would you shock with using a BIPHASIC device?

 

Term

H-   Hypovolemia

Hypoxia

                      Hydrogen Ion (acidosis)

                Hypo/Hyperkalemia

         Hypoglycemia

        Hypothermia

 

T-   Toxins

            Tamponade

                    Tension pneumo

                        Thrombosis (PE, MI)

               Trauma (ICP)

Definition
List the 6 H's and the 5 T's that should be considered when working a code...
Term
60-100
Definition
NSR is..
Term
<60
Definition
Sinus brady...
Term
Whether the QRS is narrow or wide
Definition
Treatment for sinus brady depends on what?
Term
Narrow complex


>150
Definition
THe 2 criteria for SVT...
Term
Fear
Stress
Pain
exertion
Fever
Hypovolemia
Nausea/Vomiting
Definition
Causes of Sinus Tach...
Term
Class 3.. but has properties from all classses
Definition
Amioderone is what class
Term
Everywhere
Definition
Where does Amioderone work in the heart?
Term
Because it widens the QT interval which is the cause of Torsades.
Definition
Why can you NOT use Amioderone for Torsades?
Term
Altered Mental Status

Shortness of Breath WITH Pulmonary Edema

Hypotension

Chest Pain RELATED TO the rate
Definition
4 main points of classifying unstable:
Term
unstable patients?
Definition
Who requires Cardioversion?
Term
Torsades
Definition
ONe rhythm is never synchronized...
Term
To build up the ATP in the myocardial cells.
Definition
Why not shock immediately upon arrival? Why should you do 2 minutes of CPR if unknown down time...
Term
Treat the underlying cause.
Definition
What's the best way to get someone out of PEA?
Term
Treat the underlying cause
Definition
Whats the best way to treat Sinus Tachycardia?
Term
Dfib
Definition
What do you do for Vfib?
Term
SVT (narrow, regular atrial rhythm)= 50

Atrial flutter= 50
Definition
What are the 2 exceptions for defibrillating at 100-150-200?
Term
Vagal then Adenosine (6mg, 12 mg, 12mg)
Definition
How to treat stable SVT?
Term
V-tach

Alive (150mg Amioderone)
Definition
What is a wide and regular rhythm?

How do you treat?
Term
Could be Torsades (Magnesium 1-2 g)

or WPW (Amiodarone 150 mg)

or Polymorphic V-tach (Amiodarone 150mg)
Definition
What rhythm is Wide and Irregular?

How would you treat?
Term
Na+ (Sodium) blocker
Definition
Class 1 drugs are...
Term
Beta Blockers
Definition
Class 2 drugs are...
Term
K+ (Potassium) efflux blockers
Definition
Class 3 drugs are...
Term
Ca+ (Calcium) blockers
Definition
Class 4 drugs are...
Term
Hyperkalemia and prolonged downtime
Definition
when do you give Sodium Bicarb?
Term
P- Whats the "P"roblem? Dead and need CPR

E- give "E"pinephrine

A- Give "A"tropine
Definition
PEA= Pulseless Electrical Activity... how to treat?
Term
If symptomatic:

Give Atropine.5 mg

Transcutaneous Pacing

Start Dopamine drip
Definition
How do you treat Sinus Brady?
Term
In the Ventricles
Definition
Where does Atropine NOT work?
Term
Atropine
Definition
How do you treat 2nd degree type 2 block with a narrow complex QRS?
Term
Transcutaneous Pacing and an Epi infusion if needed
Definition
How do you treat 2nd degree type 2 with a wide complex QRS?
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