Cardiac Rx
Mono VT unstable
Sedate, Sync 50->100->200->300->360, cardiologist
VAADC Vagal, Adenosine 6mg/2Sec-> Adenosine 12mg/2sec->Diltiazem 20mg/2mins->Cardiologist
Sedate, Sync 100->200->300->360, cardiologist
APED Atropine 1mg Fast IVP-> Pace->Epi Drip 1mg/250ml at 2-10mcg/min->Dopamine 400mg/250ml at 5-20mcg/kg/min
Treatmeant for SVT Unstable
VAADC Vagal, Adenosine 6mg/2Sec-> Adenosine 12mg/2sec->Diltiazem 20mg/2mins->Cardiologist
Sedate, Sync 50J ->100->200->300->360, cardiologist
Adenosine 6mg/2sec-> Adenosine 12mg/2sec->Amiodorone 150mg/10mins
APED Atropine 1mg Fast IVP-> Pace->Epi Drip 1mg/250ml at 2-10mcg/min->Dopamine 400mg/250ml at 5-20mcg/kg/min
Afib Unstable
Sedate, Sync 50->100->200->300->360, cardiologist
Sedate, Sync 200->300->360, cardiologist
Sedate, Defib 200J -> Cardiologist
VAADC Vagal, Adenosine 6mg/2Sec-> Adenosine 12mg/2sec->Diltiazem 20mg/2mins->Cardiologist
AFlutter Unstable
Sedate, Sync 50->100->200->300->360, cardiologist
Adenosine 6mg/2sec-> Adenosine 12mg/2sec->Amiodorone 150mg/10mins
Sedate, Defib 200J -> Cardiologist
VAADC Vagal, Adenosine 6mg/2Sec-> Adenosine 12mg/2sec->Diltiazem 20mg/2mins->Cardiologist
Poly VT Unstable (Dead Man Walking)
Sedate, Defib 200J -> Cardiologist
Sedate, Sync 50->100->200->300->360, cardiologist
Adenosine 6mg/2sec-> Adenosine 12mg/2sec->Amiodorone 150mg/10mins
VAADC Vagal, Adenosine 6mg/2Sec-> Adenosine 12mg/2sec->Diltiazem 20mg/2mins->Cardiologist
SVT-Stable
VAADC Vagal-> Adenosine 6mg/2sec-> Adenosine 12mg/2sec-> Diltiazem20mg/2mins->Cardiologist
AAAC Adenosine 6mg/2sec-> Adenosine 12mg/2sec-> Amiodarone 150mg/10min->Cardiologist
Diltiazem 20mg/2mins
Mag Sulfate 2gm/5mins
Mono VT Stable
AAAC Adenosine 6mg/2sec-> Adenosine 12mg/2sec-> Amiodarone 150mg/10min->Cardiologist
VAADC Vagal-> Adenosine 6mg/2sec-> Adenosine 12mg/2sec-> Diltiazem20mg/2mins->Cardiologist
Sedate, Sync 100->200->300->360, cardiologist
Mag Sulfate 2gm/5mins
Afib Stable
Diltiazem 20mg/2mins
AAAC Adenosine 6mg/2sec-> Adenosine 12mg/2sec-> Amiodarone 150mg/10min->Cardiologist
Mag Sulfate 2gm/5mins
Sedate, Sync 200->300->360, cardiologist
Aflutter Stable
Diltiazem 20mg/2mins
Mag Sulfate 2gm/5mins
AAAC Adenosine 6mg/2sec-> Adenosine 12mg/2sec-> Amiodarone 150mg/10min->Cardiologist
Sedate, Sync 50->100->200->300->360, cardiologist
Poly VT Stable
Mag Sulfate 2gm/5mins
Diltiazem 20mg/2mins
AAAC Adenosine 6mg/2sec-> Adenosine 12mg/2sec-> Amiodarone 150mg/10min->Cardiologist
Sedate, Defib 200J -> Cardiologist
Sinus Brady With low BP
APED Atropine 1mg Fast IVP-> Pace->Epi Drip 1mg/250ml at 2-10mcg/min->Dopamine 400mg/250ml at 5-20mcg/kg/min
AAAC Adenosine 6mg/2sec-> Adenosine 12mg/2sec-> Amiodarone 150mg/10min->Cardiologist
Diltiazem 20mg/2mins
Sedate, Defib 200J -> Cardiologist
2* Type 2 OR 3rd* block Brady with low BP
APED Atropine 1mg Fast IVP-> Pace->Epi Drip 1mg/250ml at 2-10mcg/min->Dopamine 400mg/250ml at 5-20mcg/kg/min
Diltiazem 20mg/2mins
Sedate, Defib 200J -> Cardiologist
AAAC Adenosine 6mg/2sec-> Adenosine 12mg/2sec-> Amiodarone 150mg/10min->Cardiologist
Chest pain with low BP
ASA 325mg -> Fluid Challange to obtain BP 90+ Systolic->NTG 0.4mg repeat every 3-5min till max of 1.2mg if needed-> morphine 2-4mg q 5-15mins
Fentanyl 1mcg/kg NO NITRO OR ASA
APED Atropine 1mg Fast IVP-> Pace->Epi Drip 1mg/250ml at 2-10mcg/min->Dopamine 400mg/250ml at 5-20mcg/kg/min
Diltiazem 20mg/2mins
Chest pain with good Vitals BP >90
ASA 325mg SL-> NTG 0.4mg SL q3-5 to max of 1.2mg->Morphone 2-4mg q 5-15mins until relief
Fentanyl 1mcg/kg NO NITRO OR ASA
APED Atropine 1mg Fast IVP-> Pace->Epi Drip 1mg/250ml at 2-10mcg/min->Dopamine 400mg/250ml at 5-20mcg/kg/min
AAAC Adenosine 6mg/2sec-> Adenosine 12mg/2sec-> Amiodarone 150mg/10min->Cardiologist
Tearing Chest pain
Fentanyl 1mcg/kg NO NITRO OR ASA
ASA 325mg -> Fluid Challange to obtain BP 90+ Systolic->NTG 0.4mg repeat every 3-5min till max of 1.2mg if needed-> morphine 2-4mg q 5-15mins
APED Atropine 1mg Fast IVP-> Pace->Epi Drip 1mg/250ml at 2-10mcg/min->Dopamine 400mg/250ml at 5-20mcg/kg/min
APED Atropine 1mg Fast IVP-> Pace->Epi Drip 1mg/250ml at 2-10mcg/min->Dopamine 400mg/250ml at 5-20mcg/kg/min
Pulmonary Edema good BP
CPAP-> NTG 0.4mg SL-> Furosemide 1mg/kg->Repeat NTG 0.4mg SL till max of 1.2mg->Morphine 2-4mg q 5-15mins
CPAP-> Dopamine 400mg/250ml run at 5-20mcg/kg/min
APED Atropine 1mg Fast IVP-> Pace->Epi Drip 1mg/250ml at 2-10mcg/min->Dopamine 400mg/250ml at 5-20mcg/kg/min
Fentanyl 1mcg/kg NO NITRO OR ASA
Pulmonary edema low BP
CPAP-> Dopamine 400mg/250ml run at 5-20mcg/kg/min
CPAP-> NTG 0.4mg SL-> Furosemide 1mg/kg->Repeat NTG 0.4mg SL till max of 1.2mg->Morphine 2-4mg q 5-15mins
APED Atropine 1mg Fast IVP-> Pace->Epi Drip 1mg/250ml at 2-10mcg/min->Dopamine 400mg/250ml at 5-20mcg/kg/min
Fentanyl 1mcg/kg NO NITRO OR ASA
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