Acute Medical Presentations — Flashcards

Flashcard 151: If bradyarrhythmias present with life-threatening features then manage with _____ to a maximum of 3mg

Answer: IV Atropine 500mcg

Flashcard 152: If 6mg adenosine fails to treat stable SVT then give _____ adenosine, then 18mg adenosine

Answer: 12mg

Flashcard 153: Bradyarrhythmias < _____ beats per minute

Answer: 60

Flashcard 154: Spot diagnosis (ECG: Regular P-P intervals, regular R-R intervals, but no relationship between P waves and QRS complexes) = _____

Answer: 3rd degree (complete) heartblock

Flashcard 155: Regular, broad-complex QRS tachyarrhythmia indicates possible _____

Answer: ventricular tachycardia

Flashcard 156: Treat stable ventricular tachycardia with _____ over 10-60 minutes infusion.

Answer: IV amiodarone 300mg

Extra: ALS Guidelines: Stable VT -> Amiodarone 300 mg IV over 10–60 mins, followed by an infusion of 900 mg over 24 hours. Alternative: Procainamide or Sotalol.

Flashcard 157: If there are NO life threatening features in tachyarrhythmias, then identify if it is a _____ tachycardia on ECG

Answer: narrow or broad QRS complex

Flashcard 158: Spot diagnosis = _____

Answer: Ventricular tachycardia

Flashcard 159: What are the life threatening features in tachyarrhythmia resuscitation? _____

Answer: 1. Shock (<90mmHg systole, pallor, sweating, cold) 2. Syncope 3. Myocardial ischaemia (chest pain, ↑ troponins) 4. Severe heart failure (severe pulmonary oedema, cyanosis)

Flashcard 160: Tachyarrhythmias > _____ beats per minute

Answer: 100