Term
| V-Tach/ V-Fib (ACLS sequence) |
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Definition
Vasopressors
Epinephrine
Vasopressin
Antiarrythmics
Amiodarone |
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Term
| PEA/Asystole (ACLS sequence) |
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Definition
CPR
Epinephrine
Vasopressin |
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Term
| Stable Tachycardia (ACLS sequence) |
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Definition
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Term
| Bradycardia (ACLS sequence) |
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Definition
Atropine
Epinephrine drip
Dopamine drip |
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Term
| Alpha's effect on vessels |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
Natural catecholamine
Alpha properties
Vasoconstriction
increased SVR= increased BP
increased contractility, CO, HR
Routing blood to brain and heart
Beta 2 properties
bronchodilator
no maximum dose |
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Term
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Definition
VF/VT
Polypeptide hormone with ADH properties
Potent vasocontrictor in high doses
Increases blood flow to the brain and heart during CPR
One dose given |
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Term
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Definition
VF/VT
Works on Na+ and K+ channels
Alpha and Beta properties
Two doses during arrest
IV drip- dosing is complex
Continuous EKG monitoring
Hypotension common |
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Term
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Definition
VF/VT
Alternative to Amiodarone
Suppresses vetricular ectopy
supresses conduction of reentry pathways
IV push
OETT
IV gtt-maintenance
Max dose 3 mg/kg |
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Term
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Definition
VF/VT
Suppresses ventricular ectopy
Slows conduction through myocardium
IV or PO
Initial loading dose
gtt therafter
Discontinue if QRS widens >50% of baseline |
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Term
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Definition
Torsade de Poines
1-2 g IV |
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Term
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Definition
1. Shock
2. Drug
3. Shock
4. Drug
5. Shock |
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Term
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Definition
1.Vasopressor
2.Antiarrhythmic
3.Vassopressor
4.Antiarrhythmic |
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Term
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Definition
Tachycardia (stable)
Slows conduction of SA & AV node
Depresses left ventricular functions
Converts tachycardic rhythms to NSR
Given rapid push over 1-3 seconds
Brief Asystole or Bradycardia
Transient flushing +/or CP
Dosing 6 mg - 12 mg |
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Term
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Definition
Tachycardia (Stable)
Control rate & ventricular response
decrease HR, force of contraction, BP, AV conduction, & myocardial O2 consumption
End in "lolo"
Metoprolol, Atenolol, Propranolol, Esmolol, Labetolol
Caution with CHF & Pulmonary disease |
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Term
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Definition
Tachycardia (stable)
controls ventricular rate in A-fib & A-flutter
Inhibits Ca+ ion influx into myocardial cells
Slow SA & AV conduction
May decrease contractility
vasodilates smooth muscle to decrease afterload and BP
Antidote= CaCl 10% solution |
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Term
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Definition
Calcium Channel Blocker
Given after Adenosine use with normal/elevated BP
May not be used with hypotension
May repeat doses |
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Term
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Definition
Calcium Channel Blocker
Given after Adenosine use
IV loading then IV gtt
Caution with CHF |
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Term
| Synchronized cardioversion |
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Definition
Tachycardia (Unstable)
slows down heart
50-100 joules |
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Term
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Definition
Amiodarone (Cordarone)
Preserved cardiac function
Avoid AV blocking agents |
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Term
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Definition
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Term
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Definition
Bradycardia
increases HR
Blocks the parasyspathetic nervous system
Enhances conduction at the SA & AV nodes
IV Push
Prepare for transcutaneous pacing |
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Term
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Definition
Bradycardia
Increases contractility, HR & CO |
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Term
| Dopamine gtt (renal perfusion) |
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Definition
Bradycardia
Low dose (<5 mcg/kg/min) |
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Term
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Definition
Moderate dose (5-10 mcg/kg/min)
Beta receptors
increased contractility, CO, & HR |
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Term
| Dopamine gtt (Vasopressor) |
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Definition
Bradycardia
High dose 10-20 mcg/kg/min
Alpha receptors
vasoconstriction
can cause tachycardia |
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Term
| Asystole/PEA (ACLS protocol) |
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Definition
Epinephrine
Vasopressin
CPR- 5 cycles (30:2)
Consider aborting resuscitation efforts |
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Term
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Definition
Search for and treat the underlying cause:
1.Hypovolemia
2.Hypoxia
3.Hydrogen Ions (acidosis)
4.Hypo/Hyperkalemia
5.Hypogycemia
6.Hypothermia |
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Term
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Definition
Search for and treat the underlying cause:
1. Toxins
2. Tamponade (cardiac)
3. Tension Pneumothorax
4. Thronbosis (coronary or pulmonary)
5. Trauma (hypovolemia increasing ICP) |
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Term
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Definition
Chest Pain
Morphine (4th)
Oxygen 4L(2nd)
Nitroglycerin 3 doses sublingual Q5min(3rd)
Aspirin 180-325 mg (1st) |
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Term
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Definition
| Return of Spontaneous Circulation |
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Term
| Unstable Tachycardia (ACLS) |
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Definition
Cardiovert
Regular 50+100 joules
Irregular 120+200 joules |
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