WorksheetsVTach onward
Total questions: 24
Worksheet time: 13mins
patient comes in ED with Acute VT what are the 1st line treatments?
DCC( CARDIOVERSION)
IV lidocaine
IV procainamide
IV amiodarone or IV Sotalol
patient comes in ED with Acute VT , which drug is last line, only give if others are not present due to side effects?
DCC( CARDIOVERSION)
IV lidocaine
IV procainamide
IV amiodarone or IV Sotalol
patient comes in ED with Acute VT , we gave them lidocaine and VT terminated, what do we do next?
DCC( CARDIOVERSION)
treat underlying cause
patient comes in ED with Acute VT , we gave them lidocaine and VT continues, what do we do next?
DCC( CARDIOVERSION)
treat underlying cause
what is a negative ADR of lidocaine?
slurred speech
seizures
diminished consciousness, bradycardia
gynocomastia
what must we do if a patient has been on it for a long time?( LIdocaine)
must check levels
must get LFTs
if a patient survives VT, we must do
rate control
rhythm control
if a patient was on lidocaine, which of the following drugs should we discharge them with ?
Mexiletine
amiodarone
sotalol
if a patient is experiencing N/V with mexiletine, what is the best course of action?
stop the drug
add zofran
what is the difference in using sotalol in Vfib vs Afib
sotalol can be used for Crcl<10 in Vfib
Sotalol has to be Crcl>40 in Vfib
we do not use quinidine or disopiramide often due to anticholinergic effects. what are some examples?
dry mouth
urinary hesitency
constipation
all the above
if a patient is in V-fib, what is the 1st course of action?
CPR2 min
CPR, oxygen,then defibrillator( shock)
Shock again
Epinephrine
Amiodarone or lidocain
if a patient is in V-fib, already gave 2 shocks, what do we give next?
CPR2 min
CPR, oxygen,then defibrillator( shock)
Shock again
Epinephrine
Amiodarone or lidocain
if a patient is in V-fib, already gave 2 shocks, epinephrine, what do we do next?
CPR2 min
CPR, oxygen,then defibrillator( shock)
Shock again
Epinephrine
Amiodarone or lidocain
if a patient is in V-fib, already gave 2 shocks, epinephrine, shock again, what do we do next?
CPR2 min
CPR, oxygen,then defibrillator( shock)
Shock again
Epinephrine
Amiodarone or lidocain
during VFib( cardiac arrest), what should we give a patient with no IV access.......because we have to provide the drug Endotracheally or intraosseously
amiodarone
Epinephrine
lidocaine
A patient is going to Torsades de point, what should we give them?
IV K+
Epinephrine
IV Mg++
A patient is going through Asystole/PEA( a myocardium issue), so what should we give them?
Amiadarone
just Epinephrine
IV Mg++
lidocaine, or sotalol
what is first line for Sinus bradycardia
dopamine
epinephrine
Atropine
how do we treat Heart block?
dopamine
epinephrine
Atropine
all the above
what is 2nd line for Sinus bradycardia
dopamine
epinephrine
external pacing
all the above
Atropine MOA
Agonist for Ach
blocks ACh at parasympatetic site to increase cardiac output
if a patient has a heart transplant ; should we give them atropine?
yes
no, lack of vagl innervation
a patient has type 2nd or 3rd degree HB, what should we give them?
atropine
give them a pacemaker
