oreoaccounting.blogg.se

1. #Ventricular fibrillation pulseless electrical activity ecg skin#
2. #Ventricular fibrillation pulseless electrical activity ecg code#

– Evaluate rhythm to determine appropriate Such as Etomidate, Fentanyl or Midazolam are common choices)ģ lead monitor leads attached to the defibrillator/cardiovertor) › Sedation: – If patient is conscious, provide sedation (agents Metabolic: Thyroid disease, hyper/hypokalemia, hypercalcemia, acidosis,ĭrugs: Cocaine, Amphetamines, Decongestants, Ephedra, GinsengĬardioversion (most rhythms)/defibrillation (Polymorphic VT). Consider Causes – Acute myocardial infarction, pulmonary embolus.Pre-excited tachycardias with accessory.Differential diagnosis of the tachycardia types includes:.Obtain history and perform physical examination

#Ventricular fibrillation pulseless electrical activity ecg code#

(Rhythm, Oximetry, BP), Obtain 12 lead EKG, Code cartĢ. Īpply oxygen, Place cardioversion/defibrillation pads, Establish IV, Monitors Shortness of breath, chest pain, evidence of CHF, or decreased mentation

#Ventricular fibrillation pulseless electrical activity ecg skin#

Patient is considered unstable if there is hypotension, poor skin signs, Trauma (Cardiac tamponade, Tension pneumothorax, aortic aneurysm rupture). PE), Tamponade (cardiac), Toxins (Digoxin toxicity, Beta blockers, TCA's), T: Tension pneumothorax, Thrombosis (Coronary MI or Pulmonary Look for and Correct Reversible Causes ofĭehydration), Hypoxia, Hypokalemia, Hyperkalemia, Hypoglycemia, Hypothermia, Resuscitation with ROSC (Return of Spontaneous Circulation). * There is no evidence to date that routine use of any vasopressor drugsĪt any stage during Rx of pulseless VT, VF, or asystole increases rates ofīut there is evidence that the use of vasopressors favors initial IV) if suspect acidotic or prolonged arrest or hyperkalemic or tricyclic May consider Na bicarbonate 1 ampule IV (~ 1 meq/kg

Over 30-60 min 20-30 mg/min IV infusion (Max: 50 mg/min infusion Procainamide Loading dose: 15 mg/kg IV/IO (as 75-100 mg) IV, may repeat 0.5 - 0.75 mg/kg in 5-10 min (Max:Īdvanced airway) immediately ! then Check rhythm Repeat Electrical defibrillation of Biphasic 200 Repeat Electrical defibrillation of Biphasic 200 Joules one shock Resume 5 cycles of CPR (30 compresssions-2 breathes in pt without advancedĪirway) immediately ! then Check rhythm - any shockable rhythm? Or Magnesium sulfate 1-2 gm in 10 mL D5W if suspect (may give 2-4 mg/kg via ET Tube) Lidocaine IV Max: 2.2 g/24h Info: if pt stable, infuse 1 mg/min 圆h then 0.5 mg/min x18hħ5-100 mg) IV, may repeat 0.5 - 0.75 mg/kg in 5-10 min (Max: 3 mg/kg)

! the Check rhythm - any shockable rhythm?Įlectrical defibrillation of Biphasic 200 JoulesĪdvanced airway) immediately ! then Check rhythm.Īmiodarone 300 mg IV/IO push may give 2nd dose of 150 mg in 3-5 Resume 5 cycles of CPR (30 compresssions-2 breathes) immediately Or Vasopressin 40 units IV/IO (single dose only) & attach cardiac monitor search for reversible causesĮpinephrine 1 mg IV/IO, may repeat every 3-5 minutes (may also Place airway device (intubation) and confirm then secure establish IV CPR