supraventricular tachycardia
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Juri Katchanov
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Juri Katchanov
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Juri Katchanov
bradycardia
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Bradycardia DDx
Seldom, but not miss in any AV blocks:
(1) Lyme
(2) Sarcoid
(3) Chagas
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Juri Katchanov
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Juri Katchanov
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Juri Katchanov
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Juri Katchanov
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Juri Katchanov
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Juri Katchanov
NUMERI
A
Adrenalin (Epinephrine)
0.5 mg IM for anaphylaxis, in children 0.1 mg/ 10 kg bodyweight IM (max. 0.5 mg IM)
1 mg IV for cardiac arrest
0.5 mg IV for peri-arrest according to Scott Weingart
20-50 µg Push Dose for bradycardia, shock, anaphylaxis etc (1 mg in 100 ml= 10 µg/ml)
Perfusor 2-10 µg/min = 0.1- 0.6 mg/h = 0.025 – 0.15 µg/min/kg
B
C
D
drop
1 drop= 0.05 ml= 50 µl (20 drops= 1 ml)
E
F
G
Gamma
1 Gamma = 1 µg/min
Glucagon
5 mg IV over 5 min for epinephrine-resistant anaphylaxis on betablockers
Glucose
10 g Glucose →↑ 30-40 mg/dl Glc
5 g Glucose counter-acts 1 U Insulin
H
I
Insulin
1 U Insulin →↓ 30-40 mg/dl Glc
For 1 U Insulin give 2.5 g (minimum) to 5.0 g (safe side) Glucose (e.g. lowering K+)
0.1 U × kg bw/h as drip (Perfusor©) for DKA without bolus (50 U/ 50 ml= 1 U/ml)
J
K
L
M
NNaloxon
1 amp= 0.4 mg in 1 ml
CPR dosis 5 x 0.4 mg= 2 mg
otherwise in 0.08 mg steps (e.g. 0.4 mg -> 10 ml, 0.08 mg= 2 ml), onset 2 min (CAVE: vomiting, withdrawal with agitation)
Noradrenalin
1 amp = 1 mg in 1 ml
for push-pressoring: 1 mg in 100 ml = 10 µg/ml (start with 2-5 ml= 20- 50 µg)
For drip (Perfusor©) e.g. 5 mg in 50 ml= 100 µg/ml
1 Gamma = 1 µg/min
Perfusor: 8 µg/min – 80 µg/min = 0.1 – 1.0 µg/min/kg = 0.5 – 5.0 mg/h
O
Opiods
Ö
P
Q
R
S
Steroids
Hydrocortison x 1, Prednisolon x 4, Methylprednisolon x 5, Dexamethason x 30
T
U
Ü
V
W
X
Y
Z
Pädiatrische Notfallkarte ÄLRD
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Juri Katchanov
VIGILANTIA et HUMILITAS 
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