CPR, EKG & ACLS QUESTIONS????? - page 2

hello everyone how goes it out there. well i am planning on going in to either CTU or CCU and to get my cpr updated my ekg cert. and acls cert. i have the oppertunity to take the cpr on 10/10 which... Read More

  1. by   thatoneguy
    Quote from siri
    :hatparty: Go Yankees....Go Yankees.....Go Yankees!!:hatparty:







    they must have heard you. going, going, gone.
  2. by   sirI
    Quote from thatoneguy
    they must have heard you. going, going, gone.
    just had to gloat, didn't cha???

    we let ya'll win.
  3. by   chadash
    so I have been studying the acls manual, and frankly, it is playing with my mind...I have a lousey memory.....so I resort to the strangest methods:

    Cardiac Noir...
    Throm remembered the first time they met, back in 02. Things were different now. Kay was cold and acidy. She was always a little hyper, now she was just the opposite. As she poured herself some tamponade, she told Throm he could take a bus to Coronary, or Polmonary, she could care less....He saw the hankerchief thrown carelessly on the chair with the initials M. T. He sensed tension as he asked if she knew Mo Thorax. She flatly denied knowing him as she slipped a couple tablets into Throm's drink...
    How many differential diagnosis are in this paragraph?
  4. by   sirI
    Quote from chadash
    so I have been studying the acls manual, and frankly, it is playing with my mind...I have a lousey memory.....so I resort to the strangest methods:

    Cardiac Noir...
    Throm remembered the first time they met, back in 02. Things were different now. Kay was cold and acidy. She was always a little hyper, now she was just the opposite. As she poured herself some tamponade, she told Throm he could take a bus to Coronary, or Polmonary, she could care less....He saw the hankerchief thrown carelessly on the chair with the initials M. T. He sensed tension as he asked if she knew Mo Thorax. She flatly denied knowing him as she slipped a couple tablets into Throm's drink...
    How many differential diagnosis are in this paragraph?
    Hypoxia
    Hypothermia
    Acidosis
    Hyperkalemia
    Hypokalemia
    Cardiac tamponade
    Coronary thrombus (MI)
    Pulmonary embolus
    Tension Pneumo
    Drug overdose
  5. by   sirI
    Hi, chadash,

    You are a hoot. I see you are hooked on this stuff. How about going to nursing school?

    If you were trying to remember PEA, I have a fairly easy way, too. It is actually the old way of remembering this pneumonic.....
  6. by   chadash
    Hey! too late for nursing school for me...just trying to be a good CNA....
    heres a question on how the dosing goes:If Atropine is give 1mg IVP for bradycardia every 3-5 mins up to .03-.04 mg/kg of body weight, would Some one weighing 150 pounds only have 2 1mg doses? I know I will never use this, but would like to understand what is going on...
    THANK YOU!
  7. by   chadash
    Oh yeah! give me any memorization aids you have!
  8. by   sirI
    Quote from chadash
    oh yeah! give me any memorization aids you have!
    the pea pneumonic is:

    hey, hey, hey that's emd


    hey=hypoxia

    hey=hypovolemia

    hey=hypothermia

    t=tension pneumothorax

    h=hyperkalemia (or hypokalemia)

    a=acidosis

    t=cardiac tamponade

    s----the s is silent

    e=massive pulmonary embolus

    m=massivie mi

    d=drug overdose
  9. by   sirI
    Quote from chadash
    Hey! too late for nursing school for me...just trying to be a good CNA....
    heres a question on how the dosing goes:If Atropine is give 1mg IVP for bradycardia every 3-5 mins up to .03-.04 mg/kg of body weight, would Some one weighing 150 pounds only have 2 1mg doses? I know I will never use this, but would like to understand what is going on...
    THANK YOU!
    Hello, chadash,

    You must be looking in the PEA or Asystole protocol. Atropine is given in increments of 1mg every 3-5 minutes in PEA or Asystole. Now, in PEA, after giving epi, atropine is ONLY given if the RATE on the MONITOR is slow ('cause there is no pulse even though it may show a bradycardia on the monitor). In asystole it is given after the epi.

    The max dose is up to 0.4 mg/kg. This normally is around 3 mg. total for the adult.
  10. by   chadash
    Thanks! This is such a help...
  11. by   chadash
    There are so many tachycardias I could scream! What really happens in the ACLS class? Also, what ekg readings should I recognize? totally new to me, and the heart blocks and stuff like ST elevation and 12 lead ekg to identify infarct location .....oh dear.....give me asystole or VF....puleeze!
  12. by   chip193
    Quote from chadash
    There are so many tachycardias I could scream! What really happens in the ACLS class? Also, what ekg readings should I recognize? totally new to me, and the heart blocks and stuff like ST elevation and 12 lead ekg to identify infarct location .....oh dear.....give me asystole or VF....puleeze!
    Tachys aren't so bad as long as you break it down something like this:

    (1) Stable or Unstable?
    Unstable - sedate and cardiovert.
    Stable - keep going.

    (2) Wide or narrow?
    Wide - try a 2b dysrhythmic (Amiodarone, Lidocaine, Mag, Procanamide)
    Narrow - try vagals.
    - then Adenosine 6, 12, 12 - this probably won't solve the fast
    rate, but it will slow it for a few seconds to see what's really
    going on
    - try one other drug (like dig, cardizem, a b-blocker) but make
    sure it is appropriate for the rhythm

    (3) Slow down?
    Yup - think about a drip or some other form of care that will keep this
    from happening again.
    Nope - sedate and cardiovert.

    Remember, you only get to try one drug (Adenosine doesn't count!) before you sedate and cardiovert. The fear is that the reactions of multiple mediations is worse than the cardioverson, so you do that instead of mixing the meds.

    Good luck,

    Chip
  13. by   chadash
    Chip:
    One Million thanks!

close