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ACLS StaRN Flashcards
Terms in this set (18)
You go into a patient's room and the patient has no pulse. You call code blue and start chest compressions. At what rate do you do compressions? How deep do they need to be on adults? How long do you do them for?
2 minutes (then check pulse and have someone else do compressions if possible)
What can you do if you have done CPR on a patient, they have ROSC, but they have no LOC (they are comatose). What might be done for them? At what temperature?
targeted temperature management
32-36 degrees Celsius for 24 hours
After a patient's heart rate and rhythm have been stabilized, what needs to be stabilized next? What two substances are used to stabilize this?
LR and NS (D5 can be caustic to the veins)
What is PETCO2? What is the normal range? What should it be during CPR?
Postapneic End-Tidal Carbon Dioxide Pressure (when you are doing CPR on a patient, a machine can be used to measure how much CO2 is being put off when air is moved out of the patient's lungs. If the Pressure goes to normal, this can be indicative of ROSC)
above 10 (ideally above 20 mmHg)
After you have started CPR, after what period of time do you stop CPR if there is no improvement? If the CO2 level does not improve past ____ mmHg this is another sign to stop CPR.
20 minutes arrest with CO2 below 10 mmHg
An unstable patient's oxygen saturation goal is what? During CPR, breaths should be given how often? (hint: 1 breath how often and how many breaths a minute)?
1 breath every 5-6 seconds
10 breaths every minute
What are two rhythms that are not shock-able? What medications should be given immediately and how much?
PEA (pulseless electrical activity)
epinephrine 1 mg every 3-5 minutes
What drug is first given for hypotension and bradycardia? What dosage for each?
0.1-0.5 mcg/kg/min for hypotension
2-10 mcg/min for bradycardia
What drug is given for unstable bradycardia?
atropine 0.5 mg q 3-5 mins (max 3 mg)
If a patient has had a heart transplant, has a PICC line or central line, what do you need to do to life-saving doses?
usually half them
After starting CPR and giving epinephrine 1 mg, which drug is next? How much is given the second time?
amiodarone 300 mg IV push
150 mg IV push after the second dose of epinephrine
When you have a patient who is responsive and needs amiodarone (e.g. stable v-tach, needs v-fib conversion), how much do you give them over how long?
150 mg/10 minutes
What drug is given for SVT? How much? What about if the patient needs a second dose?
6 mg adenosine triphosphate rapid IV push followed by a fluid flush
repeat 12 mg in 1-2 minutes
When patients have uncontrolled a-fib or a-flutter and adenosine triphosphate fails, what class of drugs is usually given next?
calcium channel blockers
What drug is given in torsades De Points?
magnesium sulfate (this is caused by hypomagnesemia)
Below what systolic BP does hypotension need emergency treatment? What is the first thing you do to treat this? What three drugs are used to treat this after fluids?
systolic below 90
fluids 1-2 L (NS and LR)
Dopamine, norepinephrine, epinephrine
A patient is having an MI, you administer oxygen, elevate the bed, call a rapid response, what medication needs should be administered (not aspirin) and what question needs to be asked before?
if they are on any ED drugs (sildenafil etc.)
What order should you do things with an MI?
morphine (not used as much any more)
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