Algorithms (Test 1)

Question 1

What are the defibrillation doses for an adult monophasic & biphasic defibrillators?

Answer 1

Monophasic: 360 joules
Biphasic: 120 - 200 joules

Question 2

What dose & frequency of epinephrine is used in adult cardiac arrest?

Answer 2

1mg every 3-5 min

Question 3

What dose & frequency of amiodarone is used in an adult cardiac arrest?

Answer 3

Initial dose: 300mg
Subsequent doses: 150mg

Question 4

What dose & frequency of lidocaine is used in an adult cardiac arrest?

Answer 4

1st dose: 1-1.5 mg/kg
2nd dose: 0.5-0.75 mg/kg

Question 5

Name all of the reversible causes of arrest that start with H. (H’s & T’s)

Answer 5

• Hypovolemia
• Hypoxia
• Hydrogen ion (acidosis)
• Hypokalemia
• Hyperkalemia
• Hypothermia

Question 6

Name all of the reversible causes of arrest that start with T (H’s & T’s)

Answer 6

• Tension pneumo
• Tamponade
• Toxins
• Thrombosis (coronary or pulmonary)

Question 7

What temperature range is necessary for TTM (targeted temperature management) on post-arrest patients?

Answer 7

32 - 36°C

Question 8

What is atropine dosing on a bradycardic patient?

Answer 8

1st dose: 1mg bolus
Subsequent doses every 3-5min
3mg max

Question 9

What is dopamine dosing for a bradycardic patient?

Answer 9

5 - 20 mcg/kg/min

Question 10

What is epinephrine dosing for a bradycardic patient?

Answer 10

2 - 10 mcg/min

Question 11

If atropine is unsuccessful in the treatment of adult bradycardia, what are the next treatment options?

Answer 11

• Transcutaneous pacing
• Dopamine infusion
• Epinephrine infusion

Question 12

How should an adult with unstable & narrow-QRS tachycardia be treated?

Answer 12

• Synchronized cardioversion with 50 J
• Adenosine (possibly)

Question 13

When would anti-arrhythmic infusions be given for an adult tachycardia patient?
What anti-arrhythmics are a part of this algorithm?

Answer 13

• If the patient had a stable, wide-QRS tachyarrhythmia.
• Procainamide, Amiodarone, Sotalol

Question 14

What is the adenosine dosing for an adult tachy-arrhythmia patient?

Answer 14

1st dose: 6 mg
2nd dose: 12 mg

Question 15

What is the tachyarrhythmia dosing for Procainamide?
What three results would cause one to stop the infusion?

Answer 15

20 - 50 mg/min
1. Arrhythmia is fixed
2. QRS durations increases by 50%
3. Max dose of 17 mg/kg is reached
(also if hypotension ensues)

Question 16

What is the maintenance dose of Procainamide?

Answer 16

1-4 mg/min

Question 17

What is the adult tachyarrhythmia dosing of amiodarone? Bolus? Maintenance?

Answer 17

Bolus: 150mg
Maintenance: 1 mg/min for 6 hours

Question 18

What is the adult tachyarrhythmia dosing of sotalol?

Answer 18

100 mg (1.5 mg/kg) over 5 minutes

Question 19

For a pregnant woman during cardiac arrest, how would one relieve aortocaval compression?

Answer 19

Lateral uterine displacement

Question 20

What are the possible etiologies of maternal arrest? (A through H)

Answer 20

• Anesthetic complications
• Bleeding
• Cardiovascular
• Drugs
• Embolism
• Fever
• General H & T’s
• Hypertension

Question 21

What epinephrine dosing would be utilized on a neonate?

Answer 21

0.01 mg/kg

Question 22

What is an APGAR score? What is the range of scoring?

Answer 22

• Newborn health evaluation score
• 0 (bad) through 10 (good)

Question 23

What is the pediatric arrest/bradycardia dosing of epinephrine?
What if no IV is present?

Answer 23

• 0.01mg/kg IV
• Endotracheal dose: 0.1mg/kg

Question 24

What is the pediatric arrest dosing of amiodarone?

Answer 24

5 mg/kg bolus, up to 3 doses

Question 25

What is the pediatric arrest dosing of lidocaine?

Answer 25

1mg/kg loading dose

Question 26

What is the initial defibrillating dose for a pediatric patient? What about subsequent defibrillations?

Answer 26

1st shock: 2 J/kg 2nd shock: 4 J/kg Subsequent shocks ≥ 4 J/kg, maximum 10 J/kg

Question 27

When would you start compressions on a pediatric patient? (based on HR)

Answer 27

When HR falls below 60

Question 28

What are the two most common causes of pediatric bradycardia?

Answer 28

1. Hypoxia 2. Hypothermia 3. Medications

Question 29

What is the dosing of atropine for a bradycardic pediatric patient? What are the minimum/maximum doses?

Answer 29

0.02 mg/kg (may repeat once) Minimum dose 0.1mg Maximum single dose 0.5mg

Question 30

What is the pediatric tachycardia synchronized cardioversion dose?

Answer 30

Start with 0.5 - 1 J/kg ... if ineffective increase to 2 J/kg max

Question 31

What is the pediatric tachycardia adenosine dose?

Answer 31

1st dose: 0.1 mg/kg rapid bolus (max 6mg) 2nd dose: 0.2 mg/kg rapid bolus (max 12mg)