19 VFib

Question 1

VFib

• ___ , disorganized, chaotic electircal activity
• no recognizable ___ complexes

Answer 1

irregular
QRS

Question 2

what is this?

Answer 2

VFib

Question 3

what is this?

Answer 3

Question 4

etiologies/risk factors/symptoms

• MI
• HFrEF
  CAD

syndrome of sudden cardiac ___

Answer 4

death

Question 5

treatment goal

terminate VFib, restore ___ and spontaneous circulation

important:
- the only effective treatment is ___
- drug alone will not terminate VFib, used to facilitate defibrilation

defibrilation does not have to be synchronized, no T wave to sync to

Answer 5

NSR
defibrillation

Question 6

treatment of VFib

Defibrillation
drugs:
- ___ (vasopressor)
- ___ (class I-IV)
- ___ (class 1B)

Answer 6

• epinephrine
• amiodarone
• lidocaine

Question 7

algorithm for termination of VF (or VT without a pulse)

CPR going on the whole time (except during shock)
1) obtain IV/IO access
2) shock
3) ____ 1 mg
4) shock
5) ___ 300 mg or ____ 1-1.5 mg/kg
6) shock
7) ___ 1 mg
8) shock
9) ___ 150 mg or ____ 0.5-0.75 mg/kg
10) shock ….

continue pattern of defib shock, CPR x 2 min, then epi 1 mg every 3-5 min until patient is resuscitated

Answer 7

• epinephrine
• amiodarone, lidocaine
• epinephrine
• amiodarone, lidocaine