Adult Cardiac Arrest Flashcards
what is cardiac arrest
heart stops beating d/t ELECTRICAL issue, leading to abscence of pulse and breathing
What is the first thing you do when some1 goes into cardiac arrest?
CPR #1
O2
Monitor/defibrillator
After attaching a monitor and performing CPR, what do you do for cardiac arrest?
Determine if rhythm is shockable
What are the shockable rhythms and what do you do after shocking?
VF or pVT
- CPR for 2 min
- establish IV/IO access
After doing
- CPR for 2 min
- establish IV/IO access
what do you do
determine if it is a shockable rhythm again
If after determining a rhythm is NOT shockable after shocking once, what do you do?
If the rhythm is NOT shockable after shocking once and there is ROSC, then go to post-cardiac arrest care, otherwise continue guidlines for asystole/PEA
If the rythm IS shockable, then shock, be
If after determining a rhythm IS shockable after shocking once, what do you do and the dosage?
- begin CPR for 2 min
- administer Epi 1mg every 3-5 min
- consider advanced airway capnography
If after adminstering Epi 1mg and continuing CPR for 2 minutes, what do you do?
Assess shockable rhythm AGAIN
If a rhythm is not shockable after the first 2 times they have been shockable, it is the same management as a non-shockable rhythm, but if it is determined to be shockable AGAIN, what do you do?
Shock and administer amiodarone OR lidocaine
continue CPR for 2 minutes and follow the cycle over and over until there is no longer Vfib/ Vtach
What are the dosages and route for epi, amiodarone, and lidocaine
Route for all is IV/IO
Epi = 1 mg every 3-5 min
Ami = 300 mg 1st dose then 150 mg
Lid = 1-1.5 mg/kg 1st dose then half that for the 2nd
If all the way back to step 1, after starting CPR, attaching a monitor and defib, you determine that a rhythm is NOT shockable, what do you do (and what is the rhythm).
Asystole or PEA
- CPR x 2 min
- IV/IO access
- Epi
- Consider advanced airway capnography
same management as 2nd shock with shockable rythm
If after CPR for 2 min and giving Epi, the rythm is shockable, what do you do?
shock + epi or ami or lid
If after CPR for 2 min and giving Epi, the rythm is NOT shockable, what do you do?
CPR for 2 minutes and treat reversible causes
If after doing CPR and treating reversible causes, the patient has signs of ROSC, what do you do?
Post-Cardiac arrest care
what are the reversible causes of cardiac arrest?
Hs and Ts
hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
Tension pneumo
Tamponade (cardiac)
Toxins
Thrombosis (pulm/coronary)
