4406 Cardiac Arrest Flashcards
1
Q
Environment
A
Mechanism Bystander CPR AED Heat/Cold OD/Toxins
2
Q
Hx
A
Events leading to Downtime, last meal/meds PMH Dialysis Terminal Illness DNR/POLST
3
Q
Physical
A
Unresponsive Pulseless/Apneic Rigor Lividity Signs of irreversible death ECG rhythm
4
Q
Differential
A
Med/trauma Pulmonary, cardiac, or vascular Oxygenation Electrolytes Glucose
5
Q
Emergency Stabilization
A
CPR
ECG/Pads immediately
Defib if necessary.
Attach Capno
Epinephrine up to 4 times every 3-5 minutes
Amiodarone for V-Fib/Tach may repeat once w/ repeat dose
H’s&T’s
Bicarb for suspected acidosis, hyperK, or TCA OD may repeat once
6
Q
Upon ROSC
A
Keep SpO2 at 94%
12 lead
Make base for destination
NS bolus for shock after ROSC
7
Q
BHO
A
Amiodarone for Peds
Atropine for cardiac arrest
Calcium for suspected hypocalcemia, hyperK, hypermag, CCB OD
Lidocaine for V-Fib/Tach when amio is not available
Magnesium for V-Fib/Tach associated with Torsades
Midazolam for anxiety following ROSC
Morphine/Fentanyl for pain associated with ROSC
Bicarb for Peds
