Acute Medical Presentations — Flashcards

Flashcard 171: If tachyarrhythmias present with life-threatening features then manage with _____ up to 3 attempts

Answer: synchronised DC cardioversion

Flashcard 172: 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 173: If synchronised DC cardioversion fails up to 3 attempts in tachyarrhythmia resuscitation, then administer _____

Answer: IV amiodarone 300mg

Flashcard 174: The patient must be _____ when providing synchronised DC shocks if they are conscious

Answer: sedated

Flashcard 175: Irregular, broad-complex QRS tachyarrhythmia indicates possible _____ or torsades de pointes

Answer: atrial fibrillation with bundle branch block

Flashcard 176: Spot diagnosis = _____

Answer: Atrial fibrillation

Flashcard 177: Treat stable torsades de pointes with _____ over 10 minutes

Answer: magnesium 2g

Flashcard 178: 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 179: Diagnosis for a sudden onset of regular, narrow-complex tachycardia (rate ~180 bpm) with absent P waves = _____

Answer: Supraventricular Tachycardia (SVT)

Extra: Standard management for stable SVT includes vagal maneuvers followed by intravenous Adenosine (6mg, then 12mg if needed).

Flashcard 180: Hypothermia temperature classification: Mild: _____°C Moderate: 28-32°C Severe: <28°C

Answer: 32-35