Cardio emergencies

Question 1

Drug for stable asymptomatic VTAC?

Answer 1

Amiodarone!!! like our sim lab

It can slip into bad

Question 2

Vfib or pulseless VTAC tx?

Answer 2

Shock first, then CPR, Then creshock

Then epi every 3-5 mins. Shock every 2 minutes.

Then vasopressin to replace epic if you need to

Question 3

SVT tx?

Answer 3

Vagal maneuver. valsalva, massage, face into water

Slows it down you so can see it

Adenosine. ONLYY 3 of them

Then AV slower, beta blockade or whatever cci

Question 4

Tx of Afib of unknown duration?

Answer 4

Rate with beta blocker, diet, or verapamil or dig

Amiodarone can be done
anticoag with heparin

Question 5

PEA tx?

Answer 5

CPR, Epi every 3-5.

Never SHOCK b/c they are having rhythm

Evaluate causes

Question 6

PEA causes (pulseless electrical activity)

Answer 6

Hs and Ts

H:
hypovolemia
Hypoxia
H+ (acidosis)
Hyperkalemia or hypo
hypoglycemia
Hyper/hypothermia

T:
Tamponade
Tension pneumo
Thromosis MI or PE
Trauma
Toxins