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14 Cards in this Set
- Front
- Back
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Primary Survey ABCDs
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Airway
Breathing = 2 breathes Circulation = 30:2 Defib = check rhythm ASAP |
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Shockable vs nonshockable rhythms
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Shockable = VT/Vfib
Non = PEA or asystole |
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VT/Vfib: first step
second step |
200J biphasic or
360J monophasic CPR x 5 cycles (2min) |
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Asystole first step
second step |
check other leads to r/o fine VT
CPR x 5 cycles (2min) |
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Secondary ABCD Survey
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A: remove obstructions/intubate
B: 1 breath q 6-8 sec C: IV access Ddx: Hs and Ts |
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Hs and Ts
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Hypovolemia, hypothermia, hypo/hyperkalemia, hypoxia, hydrogen ions.
Tension pneumo, thrombosis (pe/mi), tamponade, toxins/tablets |
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Tx VF/VT after secondary ABCD
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defib unsynchronized x 1
continue CPR (2min) Epinephrine 1mg IV/IO q 3-5min Vasopressin 40 U IV/IO x 1 Defib monophasic 360J CPR 2min |
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Other drugs for VT/VF
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Amiodarone 300mg IV x 1
Lido 1mg/kg, then .5mg/kg MAX 3 doses |
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Tx for Torsades
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MgSO4 1-2g IV
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Tx Asystole/PEA
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1. DNR?
2. Primary ABCDs and check leads 3. Secondary ABCDs and treat reversible causes. 4. CPR 5. Epi 1mg IV q 3-5m 6. Vasopressin 40U x 1 7. Atropine 1mg IV q 3-5m 8. CPR |
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Tx Tachycardia, Unstable
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1. Check rate, if >150 cardiovert, if <150 hang tight
2. Oximeter, IV, suction, intubation equipment 3. Synchronized cardioversion monophasic 100, 200, 300, 360J. Start at 50J for aflutter or 200J for VT |
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Tx Tachycardia, Narrow complex
If doesnt convert? |
Carotid Massage
Adenosine 6mg, 12, 12 Diltiazem 15-20mg IV or Verapamil 2.5-5mg IV or Metoprolol 5mg IV |
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Tx Tachycardia, Wide complex
1. VT or uncertain 2. SVT w/ aberrancy 3. Afib w/ aberrancy 4. Afib w/ WPW |
if VT or uncertain:
Amiodarone 150mg over 10min if SVT w/ aberrancy Adenosine 6, 12, 12 if afib: Diltiazem 15-20mg IV or Verapamil 2.5-5mg IV or Metoprolol 5mg IV if afib w/ WPW: amiodarone 150mg over 10min |
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Tx Bradycardia, Unstable
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atropine 0.5mg IV
cutaneous pacing epinephrine 2-10mcg/min IV or dopamine 2-10mcg/min IV Cutaneous pacing |
