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55 terms

Static Cardiology

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