Advertisement Upgrade to remove ads

These flash cards are designed to help you successfully complete the NR-Paramedic Static Cardiology station.

Normal Sinus Rhythm
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

38 y/o female complaining of N/V. BP 98, Respirations 16, SaO2 = 94%, ETCO2=38

V-Fib
Shock or 2-min of CPR
ABC, Advanced Airway, ResQpod, H's and T's
Epinephrine 1mg or 40 U Vasopressin
@2 min, shock, change compressor, CPR
Amiodarone 300mg
@2 min, shock, change compressor, CPR
Epinephrine, 1mg or 40 U Vasopressin
@2 min, shock, change compressor, CPR
Amiodarone 150 mg

76 y/o male, unresponsive, no respirations, no pulse

Accelerated Junctional
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

76 y/o female c/o weakness and being lightheaded. BP=128/66, R=16, SaO2=92%, ETCO2=38

Atrial Fibrillation
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

86 y/o male presents to clinic with fluttering in his chest. Denies pain or SOB. Physician called 911 for transport to ED.

Paced Rhythm
ABC, O2, IV, Monitor (3 & No12 Lead -why)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

75 y/o male with N/V

Multifocal PVCs
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
Consult with MD to consider:
Antiarrhythmic if fast
Atropine if slow

53 y/o female with SOB with activity and general weakness
BP=98/48, R=24

Accelerated Junctional
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

Non-conducted PACABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
Consider 0.5 Atropine if symptomatic with slow rate

Premature Junctional
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

Sinus Arrest
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

Sinus Bradycardia
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
If symptomatic and slow, consider 0.5 Atropine

Sinus Tachycardia
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
Symptomatic and stable:

Sinus to V-tach
Shock or 2-min of CPR
ABC, Advanced Airway, ResQpod, H's and T's
Epinephrine 1mg or 40 U Vasopressin
@2 min, shock, change compressor, CPR
Amiodarone 300mg
@2 min, shock, change compressor, CPR
Epinephrine, 1mg or 40 U Vasopressin
@2 min, shock, change compressor, CPR
Amiodarone 150 mg

Third Degree Block

Coupling PVCs
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
Consult with MD to consider:
Antiarrhythmic if fast
Atropine if slow

Ventricular Quadgemeny
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
Consult with MD to consider:
Antiarrhythmic if fast
Atropine if slow

V-Fib
Shock or 2-min of CPR
ABC, Advanced Airway, ResQpod, H's and T's
Epinephrine 1mg or 40 U Vasopressin
@2 min, shock, change compressor, CPR
Amiodarone 300mg
@2 min, shock, change compressor, CPR
Epinephrine, 1mg or 40 U Vasopressin
@2 min, shock, change compressor, CPR
Amiodarone 150 mg

V-tach
Shock or 2-min of CPR
ABC, Advanced Airway, ResQpod, H's and T's
Epinephrine 1mg or 40 U Vasopressin
@2 min, shock, change compressor, CPR
Amiodarone 300mg
@2 min, shock, change compressor, CPR
Epinephrine, 1mg or 40 U Vasopressin
@2 min, shock, change compressor, CPR
Amiodarone 150 mg

no pulse

First Degree Block with ST elevation
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

First Degree Block
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

Second Degree 4:1 or Third Degree?

Second Degree Type 2

Third Degree Block

Accelerated Junctional
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

Accelerated Junctional
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

A-Fib
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

A-Fib
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

A-Fib
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

A-Flutter with Unifocal PVCs
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
Contact Medical Control if symptomatic and 150 amiodarone is needed.

Paced With Spikes Upward
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

Hypothermia with Osborn Wave
http://en.wikipedia.org/wiki/Osborn_wave
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
Passive and active warming as appropriate

PEA
ABC, Advanced Airway, ResQpod, Mechanical CPR
@2 min, change compressor, CPR
O2-IV-Monitor, H's and T's
Epinephrine 1 mg every 4 min
@2 min, change compressor, CPR
Epinephrine Drip, 2-10 mcg/min
Dopamine Drip, 2-20 mcg/kg/min

Paced
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

Multifocal PVCs
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

PAC
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
Consider 0.5 Atropine if symptomatic and slow

NSR
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

NSR with High T-wave
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

Paced
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

Paced with PVC
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

Sinus with PJC
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

Sinus Arrest
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint

Sinus Bradycardia

Sinus Tachycardia-Unstable
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Adenosine, 6 mg with 20cc flush, 12 mg with 20 cc flush
Consider Sedation
Synchronized cardioversion: dosage per monitor
Synchronized cardioversion: Increase joules per monitor

Sinus to V-tach without a pulse
Shock or 2-min of CPR
ABC, Advanced Airway, ResQpod, H's and T's
Epinephrine 1mg
@2 min, shock, change compressor, CPR
Amiodarone 300mg
@2 min, shock, change compressor, CPR
Epinephrine, 1 mg
@2 min, shock, change compressor, CPR
Amiodarone 150 mg
Consider bicarb, Mag. Sulfate (torsade de points)

Sinus with Bigeminy
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
Consult with MD to consider:
Antiarrhythmic if fast
Atropine if slow

Sinus with Bigeminy
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
Consult with MD to consider:
Antiarrhythmic if fast
Atropine if slow

Third Degree Block

Ventricular Coupling
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
Consult with MD to consider:
Antiarrhythmic if fast
Atropine if slow

Ventricular Quadgeminy
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Maintain appropriate vital signs and perfusion
Treat life threats and chief complaint
Consult with MD to consider:
Antiarrhythmic if fast
Atropine if slow

V-Fib
Shock or 2-min of CPR
ABC, Advanced Airway, ResQpod, H's and T's
Epinephrine 1mg
@2 min, shock, change compressor, CPR
Amiodarone 300mg
@2 min, shock, change compressor, CPR
Epinephrine, 1 mg
@2 min, shock, change compressor, CPR
Amiodarone 150 mg
Consider bicarb, Mag. Sulfate (torsade de points)

V-Fib
Shock or 2-min of CPR
ABC, Advanced Airway, ResQpod, H's and T's
Epinephrine 1mg
@2 min, shock, change compressor, CPR
Amiodarone 300mg
@2 min, shock, change compressor, CPR
Epinephrine, 1 mg
@2 min, shock, change compressor, CPR
Amiodarone 150 mg
Consider bicarb, Mag. Sulfate (torsade de points)

V-Tach with a pulse-unstable
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Consider Sedation
Synchronized cardioversion: dosage per monitor
Synchronized cardioversion: Increase joules per monitor

V-Tach pulseless
Shock or 2-min of CPR
ABC, Advanced Airway, ResQpod, H's and T's
Epinephrine 1mg
@2 min, shock, change compressor, CPR
Amiodarone 300mg
@2 min, shock, change compressor, CPR
Epinephrine, 1 mg
@2 min, shock, change compressor, CPR
Amiodarone 150 mg
Consider bicarb, Mag. Sulfate (torsade de points)

V-Tach with a pulse-unstable
ABC, O2, IV, Monitor (3 & 12 Lead)
SAMPLE, OPQRST, Vital Signs
Consider Sedation
Synchronized cardioversion: dosage per monitor
Synchronized cardioversion: Increase joules per monitor

WPW with Delta Wave

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set