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CARDIAC FINAL
LAST LECUTE
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Cards (16)
Adenosine
3 Doses:
6mg
,
12mg
,
12mg
"
Chemical
Cardioversion"
Used for
Supraventricular Tachycardia
Amiodarone
VTach with a
Pulse
:
150mg
over 10 min Infusion
VTach
Cardiac Arrest
:
300mg
bolus,
150mg
bolus
Atropine
1mg
every
3-5
mins
Blocks
acetylcholine
to speed up the heart
Used in
Bradycardia
Dopamine
+ Chronotrope
+ Inotrope
5
– 20 mcg/kg/min infusion
Used to treat hypotension
Epinephrine
Sympathomimetic
For Hypotension:
2
–
10mcg
/min infusion
Cardiac Arrest:
1mg
bolus every
3-5
mins
Norepinephrine
Sympathomimetic
+
Inotrope, Potent
Vasoconstrictor
0.1 – 0.5 mcg/kg/min infusion
Used to treat hypotension
ACLS Reversible Causes - H's
Hypovolemia
Hypoxia
Hydrogen Ion's
(
Acidosis
)
Hypo/
Hyperkalemia
Hypothermia
ACLS Reversible Causes - T's
Tension
Pneumothorax
Tamponade (Cardiac)
Toxins
Thombosis (Coronary or Pulmonary)
Intraosseous Access
Hollow-bore
needle that is drilled into the
Medullary
Cavity
Can be placed in the
Tibia
or
Humerus
Provides rapid
vascular
access
Can aspirate
marrow
for lab work
Absorption
just as fast as Intravenous
Endotracheal
Intubation
Insertion of a
breathing
tube into the
trachea
Provides direct access to
ventilate
the lungs
Left Heart Failure -
Systolic
Decrease in
Contractility
Decrease in
Cardiac
Output
Causes:
MI
,
Dilated
Cardiomyopathy, Myocarditis
Left Heart Failure - Diastolic
Increase
in Afterload
Causes:
Hyptertension
,
Aortic Stenosis
Left Heart Failure Complications
Pulmonary Edema
Dyspnea
Orthopnea
Cardiogenic Shock
Right Heart Failure -
Systolic
Decrease
in Contractility
Dilated Right
Ventricle – Difficulty with
forward
flow
Causes: Right
Ventricular MI
Right Heart Failure - Diastolic
Increased
Afterload
Causes:
Pulmonary Hypertension
Right Ventricular Hypertrophy
Right Heart Failure Complications
Peripheral Edema
Liver Failure
Ascites