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13 Cards in this Set
- Front
- Back
Symptomatic Bradycardia
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If the patient is symptomatic (light headed, decreased BP, decreased U. O)
Give Atropine IV 0.5mg to 1.0 mg until a maximum of 3.0 mg have been given Consider transcutaneous pacing May need sedation Dopamine infusion at 5-10 mcg/kg/min |
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Pulseless Electrical Activity (PEA)
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Epinephrine 1mg IVP (Epinephrine may be repeated every 3-5 minutes)
Atropine 1 mg IV (may repeat in 3-5 minutes until a total of 0.04 mg/kg is given) Treat cause (5 H’s and 5 T’s) |
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Asystole
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Consider transcutaneous pacemaker – last resort
Epinephrine Atropine |
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Epinephrine
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IV dose: 1 mg (10cc of 1:10,000 solution administer every 3-5 minutes during resuscitation. Follow each dose with 20 cc of IV flush. May repeat often
Continuous infusion: Add 30 mg epinephrine (30cc of 1:1000 solution) to 250 cc of NS or D5W and run at 100 cc/hr to titrate to the desired effect. Infuse on an infusion pump ET tube route: 2.0-2.5 mg diluted in 10 cc of NS. |
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Atropine
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Asystole or PEA: 1mg IV push. May repeat in 3-5 minutes for a maximum dose of 0.03-0.04mg/kg
Bradycardia: 0.5-1.0mg IV every 3-5 minutes, not to exceed total dose of 0.04mg/kg (or about 3 mg) ET tube administration: 2-3 mg diluted in 10 cc NS. Instilled into the ET followed by several quick ventilations |
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Amiodarone
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In pulseless VTach/VFib- 300mg IV- May repeat at 150mg x 1 followed by drip as below
For VTach with pulse, other tachydysrhythmias: Initially the patient will receive 150 mg IV over 10 minutes (dilute 150 mg in 100cc of solution). Then using the concentration (900mg in 500cc solution) infuse 1 mg/min for 6 hours. Followed by a continuous infusion 0.5 mg/min via an infusion pump |
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Lidocaine
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Initial dose: 1.0-1.5 mg/kg IV. May repeat in 3-5 minutes at half the dose until a maximum dose of 3 mg/kg has been reached.
Infusion: 1-4 mg/min ET administration: 2-4 mg/kg |
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Dopamine
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Low doses-0.5-2 mcg/kg/min-produces a vasodilating effect on the renal, mesenteric and cerebral arteries. Urinary output increases while HR and BP stay the same
Doses of 2-10 mcg/kg/min-produces beta effects which increases cardiac output due to enhanced myocardial contractility Higher doses-above 10-20 mcg/kg/min-produces alpha effects which cause vasoconstriction Should not be added to solutions containing sodium bicarbonate since dopamine is inactivated in an alkaline pH |
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Diltiazem (Cardiazem)
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Useful in PSVT, especially associated with atrial fibrillation or flutter
IV bolus (0.25mg/kg) followed by infusion (5-15mg/hr). |
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Magnesium
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Refractory Ventricular Fibillation - reoccurring
Torsades de Pointes (type of Ventricular tachycardia) Known deficiency IV bolus followed by infusion titrated by magnesium levels |
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Norepinephrine (Levophed)
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Vasopressor
Continuous infusion of 0.5 to 20mcg/min Very potent, can cause loss of digits |
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Calcium Chloride
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Underlying problem
Hypocalcemia Hyperkalemia Calcium channel blocker toxicity |
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Morphine
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Ischemic chest pain
Pulmonary edema Increases venous capitance |