[医药卫生]心电图诊断教程

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1、HLT0073CardiacDiagnosticsInstrumentationClass9Instructor:JoanneLambley,MSc(Kin)AgendaEmergencyManagementComponentsofEmergencyManagementPlanEquipmentontheCrashCartMedicationsontheCrashCartDefibrillatorsAEDsManualMedicationsintheTestingRoomEmergencyManagementPlanFromACSM,2006Allpe

2、rsonnelshouldbetrainedinCPRPreferablyACLSShouldbeatleast1ACLStrainedstaffandaphysicianimmediatelyavailableCommunication:PhonenumbersforemergencyassistanceshouldbepostedonallphonesEmergencycommunicationdevicesmustbeavailableandworkingproperlyie.Physiciancallbutton,CodeBluebuttonEmer

3、gencyplansshouldbe:PostedRehearsedquarterlySpecificpersonshouldbeassignedtoregularmaintenanceofemergencyequipmentandinventoryofdrugsRTdepartmentmaintainscrashcartsCardiologytechnologistsinventoryemergencydrugsintestingroomsStock(allnecessarymedsarepresent)ExpirydatesEquipmentanddru

4、gsshouldbeinallareaswheremaximalETTisperformedOnlypersonnelauthorizedbylawtousecertainequipmentcandoso(equipmentmustbeimmediatelyavailable)EquipmentontheCrashCartPortable,battery-operateddefibrillatormonitorHardcopyprintoutormemoryCardioversioncapabilityACpowersourceincaseofbattery

5、failureCapableofmonitoringBloodpressureequipmentAirwaysuppliesOxygenwww.neonatology.orgEquipmentontheCrashCartAMBUbagSuctionequipmentIVfluidsandstandIVaccessequipmentSyringesandneedles(multiplesizes)Adhesivetape,alcoholwipes,gauzepadsEmergencydocumentationformswww.sands.caMedicatio

6、nsontheCrashCart(notresponsibleformedsontest3)DrugsareinIVformVF/pulselessVTEpinephrineVasopressinAntiarrhythmicsAmiodaroneLidocaineMagnesiumProcainamideMedicationsontheCrashCartPEA(pulselesselectricalactivity),asystoleEpinephrineAtropineAcutecoronarysyndromes:ischemiaandchestpain,

7、including:OxygenAspirin(oral)Nitroglycerine(oralorIV)Morphine(ifpainnotrelievedwithNTG)β-adrenergicblockersHeparinMedicationsontheCrashCartBradycardias,forexample:AtropineStableandunstabletachycardias,forexample:AdenosineΒ-adrenergicblockersCalciumchannelblockersDigoxinProcainamide

8、AmiodaroneLidocaineDefibri