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ER 3
Question | Answer |
---|---|
What 2 drugs are used in PEA treatment? | PEA: Pulseless-->epi + atropine |
Protocol for VFib or pulseless Vtach (cardiac arrest)? | ABC (of course)==>shock with 360J==>2 min CPR==>360J==>2min CPR + epi/vasopressin==>360J==>epi +/- antiarrhythmics |
What 3 drugs are used to Rx stable Vtach (not pulseless)? | amiodarone, lidocaine, procainamide |
SVT Rx? 4 steps | vagal maneuvers, adenosine, ventricular rate control (with digoxin/ccb/bblockers, etc), electric cardioversion |
What do you anticoagulate with first in Afib? | Heparin. Warfarin comes later |
4 steps of PEA management? | CPR, ABCs, Epi, Atropine (3 times max), then treat cause |
The 5 H's that cause PEA are? | hypovolemia, hypoxia, hydrogen ions, hypokalemia, hyperkalemia |
The 6 T's of PEA causes? | toxin/tablets, tamponade, tension PTX, thrombosis, thrombosis, pulm embolism, trauma |
What do you give before atropine in b blocker OD? | IV fluid bolus. If atropine isnt helping, do charcoal +/- gastric lavage |
If b blocker OD isnt responsive to atropine and gastric lavage, what drugs to give? | glucagon, ca chloride, insulin + glucose |
Never perform _________ in asystole | electric shock |
Rx protocol of asystole? | ABC--->transcutaneous pacing---->Epi--->atropine x3 |