Blanchard Valley Hospital Pharmacy Code Blue Overview
|
|
- Hector Harrison
- 5 years ago
- Views:
Transcription
1
2 Blanchard Valley Hospital Pharmacy Code Blue Overview Adapted from Gary Spanik, RPh Edited by Kate Reeves, Pharm D, RPh Jon Manocchio, Pharm D, RPh
3 Pharmacist Responsibilities Be aware of basic ACLS tenets Be aware of ACLS Core Case drug indications Have basic knowledge ACLS drug pharmacology Dose ranges Calculations Be aware of crash cart contents and locations Understand standard emergency drip regimens concentrations and compatibilities and how to prepare them provide IV pump administration rates in ml/hr
4 Watch and Listen Take control of the drug tray You are the drug expert Remain calm and alert Nurses will look to you for support Request clarification when needed Codes not in CCU/ER tend to be crowded and hectic Make sure someone is recording Keep drug tray free of debris RL3 and label all syringes/drips accurately Be aware of location of refrigerated drugs Anticipate stock replacement needs
5 Basic ACLS Tenets A = Airway B = Breathing C = Circulation D = Defibrillation Priorities during cardiac arrest are high quality CPR and early defibrillation. Drug administration is of secondary importance
6 Routes of Drug Access IV: Peripheral IV is preferred because of ease of access Due to possible delay of drug entry to the central circulation Give by bolus injection Follow with 20ml bolus of IV fluid Elevate the extremity for seconds. IO: Intraosseus route is safe and effective if IV access is unavailable Can be established in all age groups Can be achieved in seconds Any drug or fluid given IV can be given IO
7 Routes of Drug Access ET: Endotracheal is less preferred Optimal ET drug dose is unknown Typical ET dose is 2 2 ½ times the IV route dose Drugs known to be effective via ET Naloxone, Atropine, Vasopressin, Epinephrine and Lidocaine. Dilute the dose in 5 10ml of water or NS and inject directly into the trachea quickly
8 ACLS Core Cases VF/Pulseless VT Respiratory Arrest Pulseless Electrical Activity (PEA) Asystole Acute Coronary Syndrome (ACS) Unstable angina, non-st segment elevation MI, ST-segment elevation MI, and sudden cardiac death Bradycardia Unstable Tachycardias A. Fib/Flutter, Re-entry SVT, Mono/Polymorphic VT, Wide-Complex Tachycardia Stable Tachycardias Narrow (SVT)/Wide QRS Complex, Regular/Irregular tachycardias Acute Stroke
9 ACLS Drug Classification Control heart rate and rhythm Improve cardiac output, blood pressure, affect peripheral vascular tone, and inotropic and chronotropic forces
10 Blood Pressure Paradigm BLOOD PRESSURE = CARDIAC OUTPUT X PERIPHERAL RESISTANCE Be mindful how the pharmacologic actions of ACLS drugs affect blood pressure based on their affect on heart rate (Atropine/Beta blockers) or peripheral resistance such as vasoconstrictors (Phenylephrine) or vasodilatory drugs (Nitroprusside), as well as potential compensatory mechanisms.
11 Medications in ACLS Lidocaine: Antiarrhythmic Amiodarone: Antiarrhythmic Procainamide : Antiarrhythmic Beta Blockers: Rate Control Atropine: Bradycardia Isoproterenol: Sympathomimetic/Inotrope Calcium Channel Blockers: Myocardial Ischemia Adenosine: Nucleotide, PSVT Magnesium : Torsades de Point, hypomagnesiemia
12 Medications in ACLS Epinephrine: Catecholamine, cardiac stimulant Phenylephrine: Alpha-1 vasopressor Vasopressin: Pituitary Hormone, Cardiac Arrest/PEA/Vent Asystole Norepinephrine: Vasoconstrictor/Inotrope Dopamine: Adrenergic agonist/vasopressor/inotrope Dobutamine: Inotrope/Chronotrope/Vasodilator Inamrinone: Inotrope in CHF Nitroglycerin: Vasodilator/Antianginal Nitroprusside: Vasodilator
13 Medications in ACLS Diuretics: Reduce fluid volume Natrecor: Natriuretic Peptide/Decompensated CHF/Inotrope Thrombolytics: GP IIB/IIIA Antagonists Miscellaneous Oxygen Morphine IV Fluids Sodium Bicarbonate
14 Autonomic Nervous System Review The sympathetic nervous system accelerates the body s response to stress. It innervates the myocardium through adrenergic fibers for excitatory effect. A. Alpha Adrenergic Receptors - Alpha 1 - Vasoconstriction - Positive inotrope and negative chronotrope - Alpha 2 - Decreased Vascular tone in the heart, kidneys, and periphery - Lower resistance - Blood pressure reduction B. Beta Adrenergic Receptors - Beta 1 - Beta 2 - Positive chronotrope and increased myocardial contractions - Vasodilation and relaxation of smooth muscle
15 Adult Crash Cart Contents DRAWER 1 Lidocaine 2gm Premix (1) Dopamine 400mg Premix (1) Atropine PFS (4) Lidocaine PFS (6) Vasopressin (2) Amiodarone 150mg vial (3) Epinepherine PFS (6) 0.9% NS PFS (10) Dextrose PFS (2) DRAWER 2 Sodium Bicarbonate PFS (2) Norepinephrine vial (4) Succinylcholine vial (2) Metoprolol (3) Epinephrine (2) Adenosine (5) Phenytoin (3) Propofol (1) Etomidate (1) Magnesium Sulfate (2) Flumazenil (1) Furosemide (2)
16 Adult Crash Cart Contents DRAWER 2 Ephedrine amp (1) Calcium Cl 10% PFS (2) Vecuronium (2) Naloxone amp (5) Bacteriostatic NaCl (1) Neo Synephrine (1) Dobutamine Premix (1) DRAWER 3 Needles, Syringes, adapters DRAWER 4 Batteries, Blades, Tubes DRAWER 5 Tubing, Masks, Sterile Water DRAWER 6 IV Solutions, Gauze, Dressings
17 Dosage Regimens Reopro : mcg/kg/min (max 10mcg/min-filter) Amiodarone : 1mg/min x 6hr, then 0.5mg/min x 18hr (Glass after initial dose) Diltiazem : 5 15 mg/hr Dopamine : 1-20 mcg/kg/min (Beware renal dosing) Dobutamine: mcg/kg/min Epinephrine : 1-10mcg/min Integrilin: 2mcg/kg/min Furosemide: 5mg/hr up to 4GM/Hr Inamrinone: 5-10mcg/kg/min Isoproterenol: 1-20mcg/min Norepinephrine: 2-30mcg/min
18 Dosage Regimens Natrecor: 0.01mcg/kg/min Lidocaine: 1-4mg/min Labetalol: 2-8mg/min Milrinone: mcg/kg/min to max 1.13mg/kg/24Hr Nitroglycerin: 5-200mcg/min(non-PVC Tubing, Glass) Nitroprusside: mcg/kg/min (PFL) Norepinepehrine: 2-30mcg/min (PFL) Phenylephrine: mcg/min (PFL) Vasopressin: units/min Procainamide: 2-6 mg/min
19 Information Required Dosing Patient approximate weight Dose needed Dosing regimen Final concentration IV pump setting in ml/hr Quick and accurate dosing calculations are cruicial Become comfortable calculating dosages
20 Conclusion Pharmacists play an important role in Code Blue Work as a team Closed-loop communication Provides confirmation Double check medications Request clarification when needed
Chapter 9. Learning Objectives. Learning Objectives 9/11/2012. Cardiac Arrhythmias. Define electrical therapy
Chapter 9 Cardiac Arrhythmias Learning Objectives Define electrical therapy Explain why electrical therapy is preferred initial therapy over drug administration for cardiac arrest and some arrhythmias
More informationObjectives: This presentation will help you to:
emergency Drugs Objectives: This presentation will help you to: Five rights for medication administration Recognize different cardiac arrhythmias and determine the common drugs used for each one List the
More informationWHAT DO YOU SEE WHEN YOU STIMULATE BETA
CARDIAC DRUG REVIEW WHAT DO YOU SEE WHEN YOU STIMULATE BETA VASODILATE BRONCHODILATE +CHRONOTROPE +INOTROPE EPI S OTHER NAME? ADRENALIN WHAT DOES EPI DO THAT NOREPI AND DOPAMINE DO NOT DO? BETA 2 BRONCHODILATOR
More informationMASTER SYLLABUS
A. Academic Division: Health Sciences B. Discipline: Respiratory Care MASTER SYLLABUS 2018-2019 C. Course Number and Title: RESP 2330 Advanced Life Support Procedures D. Course Coordinator: Tricia Winters,
More informationAdult Critical Care Intravenous Infusions Titration Protocol
Adult Critical Care Intravenous Infusions Protocol Nursing staff to titrate drip to achieve goal ordered by provider in assigned time intervals. Amiodarone (Pacerone ) Argatroban Non-heparin anticoagulant
More informationIntravenous Infusions
Intravenous Infusions 1) An IV insulin infusion can be used for patients: a) with out of control diabetes b) with DKA (Diabetic Ketoacidosis) c) after a heart attack 2) Hyperglycemia is an adaptive response
More information6 th Floor and 7 East Nurses Guide Intravenous Drip List Approved for RN Administration University of Kentucky Chandler Medical Center
RATE Abciximab (Reopro) Alteplase (tpa, Activase) All units 6S and 6W ONLY Platelet aggregation inhibitor Thrombolytic agent Bolus: 0.25 mg/kg IV over 5 min Infusion: 0.125 0.9 mg/kg (max 90 mg); 10% of
More informationAdvanced Cardiac Life Support
Advanced Cardiac Life Support Algorithm Drugs Class I: definitely helpful, excellent Class II: Class II a -probably helpful; good to very good Class II b -possibly helpful; fair to good Class
More informationKrittin Bunditanukul Pharm.D, BCPS Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Chulalongkorn University
Krittin Bunditanukul Pharm.D, BCPS Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Chulalongkorn University Cardiac arrest Cardiac arrest can be caused by 4 rhythms: Ventricular fibrillation
More informationACLS Review. Pulse Oximetry to be between 94 99% to avoid hyperoxia (high oxygen tension can lead to tissue death
ACLS Review BLS CPR BLS CPR changed in 2010. The primary change is from the ABC format to CAB. After establishing unresponsiveness and calling for a code, check for a pulse less than 10 seconds then begin
More informationMath Practice for Paramedic Students
Math Practice for Paramedic Students 1. You are responsible for providing the proper dose of etomidate to your partner so that he can initiate the RSI procedure for your patient. The patient weighs an
More information7/21/2017. Learning Objectives. Current Cardiovascular Pharmacology. Epinephrine. Cardiotonic Agents. Epinephrine. Epinephrine. Arthur Jones, EdD, RRT
Learning Objectives Current Cardiovascular Pharmacology Arthur Jones, EdD, RRT Explain the actions, effects, indications, adverse effects, & precautions for agents from the following drug categories Cardiotonic
More informationADULT DRUG REFERENCE Drug Indication Adult Dosage Precautions / Comments
ADENOSINE Paroxysmal SVT 1 st Dose 6 mg rapid IV 2 nd & 3 rd Doses 12 mg rapid IV push Follow each dose with rapid bolus of 20 ml NS May cause transient heart block or asystole. Side effects include chest
More informationManagement of Cardiac Arrest Based on : 2010 American Heart Association Guidelines
Management of Cardiac Arrest Based on : 2010 American Heart Association Guidelines www.circ.ahajournals.org Elham Pishbin. M.D Assistant Professor of Emergency Medicine MUMS C H E S Advanced Life Support
More informationACLS. Advanced Cardiac Life Support Practice Test Questions. 1. The following is included in the ACLS Survey?
1. The following is included in the ACLS Survey? a. Airway, Breathing, Circulation, Differential Diagnosis b. Airway, Breathing, Circulation, Defibrillation c. Assessment, Breathing, Circulation, Defibrillation
More informationCSI Skills Lab #5: Arrhythmia Interpretation and Treatment
CSI 202 - Skills Lab #5: Arrhythmia Interpretation and Treatment Origins of the ACLS Approach: CSI 202 - Skills Lab 5 Notes ACLS training originated in Nebraska in the early 1970 s. Its purpose was to
More informationEmergency Cardiovascular Care: EMT-Intermediate Treatment Algorithms. Introduction to the Algorithms
Emergency Cardiovascular Care: EMT-Intermediate Treatment Algorithms Introduction to the Algorithms Cardiac Arrest Algorithms Prehospital Medication Profiles Perspective regarding the EMT- Intermediate
More informationAdenosine. poison/drug induced. flushing, chest pain, transient asystole. Precautions: tachycardia. fibrillation, atrial flutter. Indications: or VT
Adenosine Indications: 1. Narrow complex PSVT 2. Does not convert atrial fibrillation, atrial flutter or VT 1. Side effects include flushing, chest pain, transient asystole 2. May deteriorate widecomplex
More informationBased on the Guidelines 2000 for Cardiopulmonary Resuscitation & Emergency Cardiovascular Care EMERGENCY PHARMACOLOGY I & II. ADENOSINE (Adenocard)
EMERGENCY PHARMACOLOGY I & II Advanced Cardiac Life Support Seminole Community College Based on the Guidelines 2000 for Cardiopulmonary Resuscitation & Emergency Cardiovascular Care International Consensus
More informationANTI - ARRHYTHMIC DRUGS
ANTI - ARRHYTHMIC DRUGS CARDIAC ACTION POTENTIAL K Out Balance Ca in/k out Na in K Out GENERATION OF ARRHYTHMIAS Four mechanisms of arrhythmia generation; Increased normal automaticity Abnormal automaticity
More informationACLS Prep. Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep.
November, 2013 ACLS Prep Preparation is key to a successful ACLS experience. Please complete the ACLS Pretest and Please complete this ACLS Prep. ACLS Prep Preparation is key to a successful ACLS experience.
More informationCardiac Drugs: Chapter 9 Worksheet Cardiac Agents. 1. drugs affect the rate of the heart and can either increase its rate or decrease its rate.
Complete the following. 1. drugs affect the rate of the heart and can either increase its rate or decrease its rate. 2. drugs affect the force of contraction and can be either positive or negative. 3.
More informationAdult Drug Reference. Dopamine Drip Chart. Pediatric Drug Reference. Pediatric Drug Dosage Charts DRUG REFERENCES
Adult Drug Reference Dopamine Drip Chart Pediatric Drug Reference Pediatric Drug Dosage Charts DRUG REFERENCES ADULT DRUG REFERENCE Drug Indication Adult Dosage Precautions / Comments ADENOSINE Paroxysmal
More informationACLS Study Guide Key guidelines recommendations for healthcare professionals:
1 ACLS Study Guide 0.849. Key guidelines recommendations for healthcare professionals: Effective teamwork techniques should be learned and practiced regularly. Professional rescuers should use quantitative
More informationThese drugs produce effects similar to the sympathetic nervous system
Terms adrenergic Drugs mydriasis sympathetic nervous system adrenergic drugs adrenergic mechanism of action positive inotropic effect positive chronotropic effect positive dromotropic effect adrenergic
More informationCritical Care Medication Administration
Critical Care Medication Administration 1. HEPARIN (units/hour): Given in LII, LI, HG, ER, HCHA, PACU, Cath Lab, MSONT Purpose: Anticoagulation. Used to treat Acute MI, CVA, DVT, etc. Identify concentration
More informationADVANCED CARDIAC LIFE SUPPORT (ACLS) RECERTIFICATION EXAMINATION
ADVANCED CARDIAC LIFE SUPPORT (ACLS) RECERTIFICATION EXAMINATION 1. Ten minutes after an 85 year old woman collapses, paramedics arrive and start CPR for the first time. The monitor shows fine (low amplitude)
More informationTitrating Critical Care Medications
Titrating Critical Care Medications Chad Johnson, MSN (NED), RN, CNCC(C), CNS-cc Clinical Nurse Specialist: Critical Care and Neurosurgical Services E-mail: johnsoc@tbh.net Copyright 2017 1 Learning Objectives
More informationVENTRICULAR FIBRILLATION. 1. Safe scene, standard precautions. 2. Establish unresponsiveness, apnea, and pulselessness. 3. Quick look (monitor)
LUCAS COUNTY EMS SUMMARY PAGES VENTRICULAR FIBRILLATION 2. Establish unresponsiveness, apnea, and pulselessness 3. Quick look (monitor) 4. Identify rhythm 5. Provide 2 minutes CPR if unwitnessed by EMS
More informationAdult Advanced Cardiovascular Life Support 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular
Adult Advanced Cardiovascular Life Support 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care 1 DR. Alireza Abootalebi Assistant Professor Of
More informationManagement Of Medical Emergencies. Zakaria S. Messieha, DDS
Management Of Medical Emergencies Zakaria S. Messieha, DDS Z.S. Messieha Associate Professor, Anesthesiology University Of Illinois At Chicago Necessity Of Emergency Protocol Aging patient population.
More informationEMS Region Medication List 2010
EMT-B MEDICATIONS Patient Assisted Medications (PAM) and Ambulance Stock Medications Medication Protocol/Use Dose Auto-injector (Epi-pen) Glucose (Oral) Metered-Dose Inhaler (MDI) Allergic/Anaphylactic
More informationACLS Emergency Cardiac Drug Therapy (bolded = changes based on 2005 AHA ACLS Guidelines) revised 01/18/07
Oxygen Acute Chest Pain Suspected hypoxemia of any cause or c/o SOB Cardiopulmonary Arrest correct hypoxemia by O2 tension O2 content tissue oxygenation O2 Toxicity with high FIO2s May cause CO2 if a CO2
More informationAdvanced Cardiac Life Support ACLS
Essential Medical Training, LLC Providing Quality, Professional Training Advanced Cardiac Life Support ACLS Course Study Guide and Agenda 772-781-9249 office 772-382-0607 fax Email: treasurecoastcpr@gmail.com
More informationRequirements to successfully complete PALS:
The American Heart Association released new resuscitation science and treatment guidelines on October 19, 2010. The new AHA Handbook of Emergency Cardiac Care (ECC) contains these 2010 Guidelines.The 2010
More informationDIAGNOSIS AND MANAGEMENT OF ACUTE HEART FAILURE
DIAGNOSIS AND MANAGEMENT OF ACUTE HEART FAILURE Mefri Yanni, MD Bagian Kardiologi dan Kedokteran Vaskular RS.DR.M.Djamil Padang The 3rd Symcard Padang, Mei 2013 Outline Diagnosis Diagnosis Treatment options
More informationShifts 28, 29, 30 Quizzes
Shifts 28, 29, 30 Quizzes Name: Score: Date: 1. You are on the scene of a 4 year old in cardiac arrest. CPR is initiated and an E.T. tube has been placed, an I.V. has been established. What is the correct
More informationSARASOTA MEMORIAL HOSPITAL DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL DEPARTMENT POLICY TITLE: PHARMACEUTICALS FOR CRITICAL CARE AREAS, HEMODIALYSIS, PACU, EMERGENCY CARE CENTER, CARDIAC CARE AREAS, NEURO PROGRESSIVE CARE, AND THE MECKLER
More informationINSTITUTE FOR MEDICAL SIMULATION & EDUCATION ACLS PRACTICAL SCENARIOS
Practical Teaching for Respiratory Arrest with a Pulse (Case 1) You are a medical officer doing a pre-operative round when 60-year old patient started coughing violently and becomes unconscious. Fortunately
More informationALS MODULE 7 Pharmacology
ALS MODULE 7 Pharmacology Relates to HLT404C Apply Advanced Resuscitation Techniques Introduction There are no studies that addressed the order of drug administration. There is inadequate evidence to define
More informationAdvanced Resuscitation - Child
C02C Resuscitation 2017-03-23 1 up to 10 years Office of the Medical Director Advanced Resuscitation - Child Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia Algorithm
More informationDENTAL OFFICE EMERGENCIES Edited June 10, 2012
DENTAL OFFICE EMERGENCIES Edited June 10, 2012 This course is solely to provide the healthcare worker with information to assist in his/her practice and professional development, and is not to be considered
More informationMCHD Critical Care Drips Meds and Procedures. Moore County Hospital District Education Department
MCHD Critical Care Drips Meds and Procedures Moore County Hospital District Education Department Dopamine Increases systolic and diastolic BP 400 mg in 250 cc D5W 1600 mcg/ml (pre-mixed bag) Initial Infusion
More informationANESTHESIA DRUG REVIEW
ANESTHESIA REVIEW CAPA S 39 TH ANNUAL CONFERENCE PALM SPRINGS OCTOBER 10, 2015 ROBERT F. KOPEL, MD, FACP, FCCP HOAG HOSPITAL CARDIAC ANESTHESIOLOGIST ASSISTANT CLINICAL PROFESSOR UCLA SCHOOL OF MEDICINE
More informationChapter 13. Learning Objectives. Learning Objectives 9/11/2012. Poisonings, Overdoses, and Intoxications
Chapter 13 Poisonings, Overdoses, and Intoxications Learning Objectives Discuss use of activated charcoal in treatment of poisonings List treatment options for acetaminophen overdose List clinical manifestations
More informationDysrhythmias. Dysrythmias & Anti-Dysrhythmics. EKG Parameters. Dysrhythmias. Components of an ECG Wave. Dysrhythmias
Dysrhythmias Dysrythmias & Anti-Dysrhythmics Rhythm bad in the heart: Whitewater rafting Electrical impulses coordinate heart Reduction in Cardiac Output PEA Asystole Components of an ECG Wave EKG Parameters
More informationPEDIATRIC CARDIAC RHYTHM DISTURBANCES. -Jason Haag, CCEMT-P
PEDIATRIC CARDIAC RHYTHM DISTURBANCES -Jason Haag, CCEMT-P General: CARDIAC RHYTHM DISTURBANCES - More often the result and not the cause of acute cardiovascular emergencies - Typically the end result
More informationReview Packet EKG Competency This packet is a review of the information you will need to know for the proctored EKG competency test.
Review Packet EKG Competency 2015 This packet is a review of the information you will need to know for the proctored EKG competency test. Normal Sinus Rhythm Rhythm: Regular Ventricular Rate: 60-100 bpm
More informationDrug Max dose approved for IVP Dilution Rate Monitoring Parameters. Dilution not necessary (Available in prefilled syringe)
Drug Max dose approved for IVP Dilution Rate Monitoring Parameters Acetazolamide 500 mg Reconstitute with at least 5ml sterile water (max concentration should not exceed 100mg/ml) 100-500 mg/min Hypotension
More informationHeart Failure (HF) Treatment
Heart Failure (HF) Treatment Heart Failure (HF) Complex, progressive disorder. The heart is unable to pump sufficient blood to meet the needs of the body. Its cardinal symptoms are dyspnea, fatigue, and
More informationEKG Rhythm Interpretation Exam
as EKG Rhythm Interpretation Exam Name: Date: ID# Unit Assume each strip is a 6 second strip. Passing is 80%. 1. Identify the following rhythm: a. Asystole b. Ventricular fibrillation c. Atrial fibrillation
More informationEuropean Resuscitation Council
European Resuscitation Council Objectives To know basic elements to evaluate patients with rythm disturbance To know advanced treatment of paediatric cardiac arrest To know emergency treatment of most
More informationAtrial fibrillation in the ICU
Atrial fibrillation in the ICU Atrial fibrillation Preexisting or incident (new onset) among nearly one in three critically ill patients Formation of arrhythogenic substrate usually fibrosis (CHF, hypertension,
More informationFinal Written Exam ASHI ACLS
Final Written Exam ASHI ACLS Instructions: Identify the choice that best completes the statement or answers the question. Questions 1 and 2 pertain to the following scenario: A 54-year-old man has experienced
More informationnational CPR committee Saudi Heart Association (SHA). International Liason Commission Of Resuscitation (ILCOR)
2 It is our pleasure to present to you this work as a result of team work of the national CPR committee at the Saudi Heart Association (SHA). We adapted the 2010 guidelines as per International Liason
More informationAdvanced Resuscitation - Adult
C02A Resuscitation 2017-03-23 17 years & older Office of the Medical Director Advanced Resuscitation - Adult Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia Algorithm
More informationPEDIATRIC EMERGENCY CARE GUIDE Child 70mm. Child 70mm
PEDIATRIC EMERGENCY CARE GUIDE Pediatric Parameters & Equipment Age Neonate 3mo 6mo 1 yr 2 yr 3 yr 4 yr 6 yr 8 yr 12 yr 14 yr Wt (kg) 3.5 6 8 10 12 14 16 20 25 40 50 ~ BSA (m 2 ) 0.24 0.34 0.42 0.49 0.56
More informationPALS Case Scenario Testing Checklist Respiratory Case Scenario 1 Upper Airway Obstruction
Respiratory Case Scenario 1 Upper Airway Obstruction Directs administration of 100% oxygen or supplementary oxygen as needed to support oxygenation Identifies signs and symptoms of upper airway obstruction
More informationParamedic Pediatric Medical Math Practice
Paramedic Pediatric Medical Math Practice Name: Date: Problem 1 Your 4 year old patient weighs 40 pounds. She is febrile. You need to administer acetaminophen (Tylenol) 15mg/kg. How many mg will you administer?
More informationMWLCEMS SYSTEM Continuing Education Packet Management of the Acute MI Patient
MWLCEMS SYSTEM Continuing Education Packet Management of the Acute MI Patient In this CE we will discuss the patient presenting with an acute ST-Elevation Myocardial Infarction (STEMI) Definition: Myocardial
More informationMichigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS
Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia
More informationUpdated Policies and Procedures # s 606, 607, 610, 611, 612, 613, 625, 628, 630, 631, and 633 (ACLS Protocols and Policies)
SLO County Emergency Medical Services Agency Bulletin 2012-09 PLEASE POST Updated Policies and Procedures # s 606, 607, 610, 611, 612, 613, 625, 628, 630, 631, and 633 (ACLS Protocols and Policies) July
More informationCardiac Arrhythmias & Drugs used in Advanced Life Support and Cardiac Emergencies
Cardiac Arrhythmias & Drugs used in Advanced Life Support and Cardiac Emergencies CNHE Ballarat Health Services Valid from 1 st March 2016 to 31 st June 2018 1 Supraventricular Tachycardia (SVT) An atrial
More informationUnstable: Hypotension/Shock, Fever, Altered Mental Status, Chest discomfort, Acute Heart Failure Saturation <94%, Systolic BP < 90mmHg
Bradycardia Heart Rate less than 50/min Stable: Monitor Seek expert help Treat Reversible Causes Unstable Signs and Symptoms: chest pain, shortness of breath, altered mental status, weak, Hypotension,
More informationLewis-Clark State College Workforce Training Paramedic Classroom Syllabus Pulmonary/Cardiology/Neurology/Endocrinology Module 4
September 2016-February 2018 Class Meeting Location: Meriwether Lewis Hall, Lewis-Clark State College, Room 130 Class Meeting Dates: Monday/Wednesday, 6pm-9pm. Attendance is required. Reading assignments
More informationDYSRHYTHMIAS. D. Assess whether or not it is the arrhythmia that is making the patient unstable or symptomatic
DYSRHYTHMIAS GENERAL CONSIDERATIONS A. The 2015 American Heart Association Guidelines were referred to for this protocol development. Evidence-based science was implemented in those areas where the AHA
More informationACLS: 2015 Update. What s new? Or:
ACLS: 2015 Update Or: What s new? Mitchell Shulman MDCM FRCPC CSPQ Emergency Department, MUHC Master Instructor ACLS, QHSF Assist Professor, Dept of Surgery CME Faculty Disclosure Dr. Shulman has no affiliation
More informationMedical Management of Acute Heart Failure
Critical Care Medicine and Trauma Medical Management of Acute Heart Failure Mary O. Gray, MD, FAHA Associate Professor of Medicine University of California, San Francisco Staff Cardiologist and Training
More informationMICHIGAN. State Protocols. Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6.
MICHIGAN State Protocols Protocol Number Protocol Name Pediatric Cardiac Table of Contents 6.1 General Pediatric Cardiac Arrest 6.2 Bradycardia 6.3 Tachycardia PEDIATRIC CARDIAC PEDIATRIC CARDIAC ARREST
More informationJUST SAY NO TO DRUGS?
JUST SAY NO TO DRUGS? THE EVIDENCE BEHIND MEDICATIONS USED IN CARDIAC RESUSCITATION NTI 2014 CLASS CODE 148 Nicole Kupchik RN, MN, CCNS, CCRN, PCCN Objectives 1. Discuss the historical evidence supporting
More informationVasoactive Medications. Matthew J. Korobey Pharm.D., BCCCP Critical Care Clinical Specialist Mercy St. Louis
Vasoactive Medications Matthew J. Korobey Pharm.D., BCCCP Critical Care Clinical Specialist Mercy St. Louis Objectives List components of physiology involved in blood pressure Review terminology related
More informationMichigan Adult Cardiac Protocols TABLE OF CONTENTS
Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Asystole Section 2-1 Bradycardia Section 2-2 Cardiac Arrest General Section 2-3 Cardiac Arrest ROSC Section 2-4 Chest Pain Acute Coronary Syndrome
More informationOptimal preload. Objectives. Preload RV: RAP LV: LAP (PAOP) 3/11/2015. Effects of CV Drugs on Hemodynamics: Which Drug When?
Objectives Effects of CV Drugs on Hemodynamics: Which Drug When? Robin Donohoe Dennison, DNP, APRN, CCNS, CNE describe the hemodynamic effects of select CV drugs select the appropriate CV drug in a clinical
More informationIV Medication Drip Chart
IV Medication Drip Chart Index Summary chart 2 IV Medication drip chart Amiodarone 2 Atracurium 2, 5 Cisatracurium 2, 5 Dexmedetomidine 2 Dobutamine 2, 6 Dopamine 2, 6 Epinephrine 2, 7 Esmolol 2, 7 Etomidate
More informationImperial Valley College Division of Nursing Education and Health Technologies NURS. Study Guide. Critical Care IV's
Imperial Valley College Division of Nursing Education and Health Technologies NURS Study Guide Critical Care IV's 1. Administer Dopamine at 8 mcg/kg/min to a 65 Kg patient. The concentration on hand is
More informationMEDICATIONS CARDIOVASCULAR URGENCIES & EMERGENCIES 12/29/14. Cardiovascular Emergency Medications. Cardiovascular Emergency Medications
CARDIOVASCULAR URGENCIES & EMERGENCIES Steven Ganzberg, DMD, MS Director of Anesthesiology, Century City Outpatient Surgery Center Clinical Professor of Anesthesiology, UCLA School of Dentistry sganzberg@ucla.edu
More informationNURSING DEPARTMENT CRITICAL CARE POLICY MANUAL CRITICAL CARE PROTOCOLS EPTIFIBATIDE (INTEGRILIN) PROTOCOL
NURSING DEPARTMENT CRITICAL CARE POLICY MANUAL CRITICAL CARE S EPTIFIBATIDE (INTEGRILIN) I. PURPOSE: A. Integrilin (Eptifibatide) is a specific and potent inhibitor of the platelet receptor glycoprotein
More informationCardiac Drug Update. By Pamela P. Bayles, RN, BSN
Cardiac Drug Update By Pamela P. Bayles, RN, BSN Advances in cardiovascular medicine over the last decade have dwarfed the major advances throughout all of history Advances over the last ten years have
More informationPITTMed Cardiology. Pharmacology Modules. Learning Objectives. Site Contents. Fall 2018
PITTMed Cardiology Fall 2018 Site Contents Pharmacology Modules Please complete the following modules during the first week of class: Adrenergics Cholinergics Adrenergic Drugs in Cardiology Hypercalcemia
More informationArrhythmic Complications of MI. Teferi Mitiku, MD Assistant Clinical Professor of Medicine University of California Irvine
Arrhythmic Complications of MI Teferi Mitiku, MD Assistant Clinical Professor of Medicine University of California Irvine Objectives Brief overview -Pathophysiology of Arrhythmia ECG review of typical
More informationDon t Forget the Basics
Scary Arrhythmias in the Hospital Gregory M Marcus, MD, MAS Assistant Professor of Medicine Division of Cardiology University of California, San Francisc Don t Forget the Basics 79 yo man with a history
More informationAdvanced Resuscitation - Adolescent
C02B Resuscitation 2017-03-23 10 up to 17 years Office of the Medical Director Advanced Resuscitation - Adolescent Intermediate Advanced Critical From PRIMARY ASSESSMENT Known or suspected hypothermia
More informationHYPERTENSION: Sustained elevation of arterial blood pressure above normal o Systolic 140 mm Hg and/or o Diastolic 90 mm Hg
Lecture 39 Anti-Hypertensives B-Rod BLOOD PRESSURE: Systolic / Diastolic NORMAL: 120/80 Systolic = measure of pressure as heart is beating Diastolic = measure of pressure while heart is at rest between
More informationSystemic Pharmacology Lecture 7: Neuropharmacology
Systemic Pharmacology Lecture 7: Neuropharmacology Drugs act on Sympathetic NS (adrenergic system) Adrenergic Drugs (Sympathomimetics), adrenergic agonists, or alpha- and beta-adrenergic agonists Antiadrenergic
More informationUtah EMS Protocol Guidelines: Cardiac
Utah EMS Protocol Guidelines: Cardiac Version 1 / November 1, 2013 Cardiac Patient Care Guidelines These guidelines were created to provide direction for each level of certified provider in caring for
More informationMichigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS
Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia
More informationThe most common. hospitalized patients. hypotension due to. filling time Rate control in ICU patients may be difficult as many drugs cause hypotension
Arrhythmias in the critically ill ICU patients: Approach for rapid recognition & management Objectives Be able to identify and manage: Atrial fibrillation with a rapid ventricular response Atrial flutter
More informationHeart Failure. Dr. Alia Shatanawi
Heart Failure Dr. Alia Shatanawi Left systolic dysfunction secondary to coronary artery disease is the most common cause, account to 70% of all cases. Heart Failure Heart is unable to pump sufficient blood
More informationAdvanced Cardiac Life Support (ACLS) Science Update 2015
1 2 3 4 5 6 7 8 9 Advanced Cardiac Life Support (ACLS) Science Update 2015 What s New in ACLS for 2015? Adult CPR CPR remains (Compressions, Airway, Breathing Chest compressions has priority over all other
More informationAcute Arrhythmias in the Hospitalized Patient
Acute Arrhythmias in the Hospitalized Patient Gregory M Marcus, MD, MAS Associate Professor of Medicine Division of Cardiology University of California, San Francisc Disclosures Medtronic: Research Support
More informationSouth Dakota State Board of Dentistry PO Box 1079, 105 S. Euclid Ave., Ste C, Pierre, SD Ph: Fax:
South Dakota State Board of Dentistry PO Box 1079, 105 S. Euclid Ave., Ste C, Pierre, SD 57501-1079 Ph: 605-224-1282 Fax: 888-425-3032 E-mail: contactus@sdboardofdentistry.com www.sdboardofdentistry.com
More informationWRITER TRISTAN WALKER TABLE OF CONTENTS. The Basics of cardiac pharmacology 2007
WRITER TRISTAN WALKER TABLE OF CONTENTS 1. WHAT ARE THE MAJOR CLASSES OF CARDIAC DRUGS?...2 2. HOW DO THEY WORK?...3 3. CONSIDERATIONS FOR THE PEDIATRIC PATIENT...7 4. SUMMARY TABLE...10 REFERENCES...14
More informationANZCOR Guideline 12.4 Medications and Fluids in Paediatric Advanced Life Support
ANZCOR Guideline 12. Medications and Fluids in Paediatric Advanced Life Support Who does this guideline apply to? This guideline applies to infants and children. Summary Who is the audience for this guideline?
More informationRoutine Patient Care Guidelines - Adult
Routine Patient Care Guidelines - Adult All levels of provider will complete an initial & focused assessment on every patient, and as standing order, use necessary and appropriate skills and procedures
More informationJeopardy Tip Sheets. 12 Lead EKG Review. Leads affected. Coronary artery involved. Area of myocardium INFERIOR RCA II, III, AVF SEPTAL LAD V1 & V2
12 Lead EKG Review Jeopardy Tip Sheets Area of myocardium Coronary artery involved Leads affected INFERIOR RCA II, III, AVF SEPTAL LAD V1 & V2 ANTERIOR LAD V3 & V4 LATERAL Circumflex I, AVL, V5, V6 Normal
More informationNorth Carolina Medical Board Approved Medications for Credentialed EMS Personnel
North Carolina Medical Board Approved Medications for Credentialed EMS Personnel EMS personnel at any level who administer medications must do so within an EMS system that provides medical oversight. Personnel
More informationACLS: 2015 Update. Anything New?
ACLS: 2015 Update Anything New? Mitchell Shulman MDCM FRCPC CSPQ Emergency Department, MUHC Master Instructor ACLS, QHSF Assist Professor, Dept of Surgery Copyright 2017 by Sea Courses Inc. All rights
More information7/4/2015. Titrating Vasoactive Drips
Leanna R. Miller RN, MN, CCRN-CMC, PCCN-CSC, CEN, NP LRM Consulting Vasoactive medications are indicated when the SBP has a decrease of > 30mmHg from the baseline or a MAP < 60mmHg and when either condition
More informationChapter 10. Learning Objectives. Learning Objectives 9/11/2012. Congestive Heart Failure
Chapter 10 Congestive Heart Failure Learning Objectives Explain concept of polypharmacy in treatment of congestive heart failure Explain function of diuretics Learning Objectives Discuss drugs used for
More information1. What would you do first to restore oxygenation and ventilation to an unresponsive, breathless, near-drowning victim?
ACLS Provider Course SAMPLE ACLS PRE-TEST EXAM This is a single-answer multiple-choice examination. There is only one correct answer to each question. 1. What would you do first to restore oxygenation
More information