Algorhithms Flashcards
ADENOSINE FIRST IV DOSE
6MG
ADENOSINE SECOND IV DOSE
12 MG
WHAT HAPPENS IF ADENOSINE DOESN’T WORK?
MOVE TO TRANSCUTANEOUS PACING
PACING…
SET MONITOR UP
GO TO PACING/SYNC
SET RATE TO 60
MILIAMPS TO 70 OR UNTIL CAPTURE
START PACING.
WHAT ARE THE H’s?
- HYPOVOLEMIA
- HYPOXIA
- HYDROGEN IONS (ACIDOSIS)
- HYPER-/HYPO/KALEMIA
- HYPOTHERMIA
WHAT ARE THE T’s?
- TENSION PNEUMOTHORAX
- TAMPONADE
- TOXINS
- THROMBOSIS
HYPOKALEMIA
ADD MAGNESIUM IF CARDIAC ARREST
HYPOVOLEMIA
FLAT NECK VEINS
ADD MAGNESIUM IF CARDIAC ARREST
HYPOXIA
CYANOSIS
BLOOD GASES
AIRWAY PROBLEMS
OXYGENATION
VENTILATION
ADVANCED AIRWAY
HYDROGEN IONS
HX OF DIABETES
RENAL FAILURE
TREAT WITH VENTILATION AND BICARBONATE
HYPERKALEMIA
HX OF RENAL FAILURE
DIALYSIS
MEDS
TREAT WITH CALCIUM CHLORIDE SODIUM BICARB GLUCOSE AND INSULIN ALBUTEROL
HYPOTHERMIA
MUST WARM THE PATIENT BEFORE YOU TRY AND SAVE THEM
TENSION PNEUMOTHORAX
PEA
TRACH DEVIATION
UNEQUAL BREATH SOUNDS
TREAT WITH NEEDLE DECOMPRESSION AND CHEST TUBE
CARDIAC TAMPONADE
PEA
VEIN DISTENTION
TREAT WITH
PERICARDIOCENTESIS
TOXINS
PEA
VEIN DISTENTION
TREAT WITH INTUBATION
SPECIFIC ANTIDOTES
THROMBOSIS
PEA
DISTENDED NECK VEINS
TREAT WITH
SURGERY
OR FIBRINOLYTICS
VASOPRESSIN
40 UNITS
EPINEPHERINE
1 MG EVERY 3-5 MIN
INFUSION-
2-10 MCG/MIN
NOREPI/LEVO
0.1-0.5 MCG/KG/MIN
DOPAMINE
2-10 MCG/KG/MIN
POST CARDIAC ARREST THERAPY
OXYGENATE EVERY 6 SEC
VITALS
IV BOLUS 1-2 L NS/LR
EPI/LEVO/ DOPA INFUS
H AND T’S
ROSC
OXYGENATE EVERY 6 SEC
VITALS/ AWAKE?
IV BOLUS 1-2 L NS/LR
EPI/LEVO/ DOPA INFUS
H AND T’S
12 LEAD
ASYSTOLE
- CHECK LEADS PLUGGED IN
2. CHECK GAIT
VFIB-
START CPR
HOOK TO THE MONITOR 150 TURN SYNC OFF
PUT ON OXYGEN
IV
SHOCK- SWITCH
CPR
GIVE 1 MG EPI
DRAW UP 300MG AMI
CHECK RHYTHM
SWITCH/SHOCK
GIVE AMI
DRAW UP EPI
ASYSTOLE-
CONTINUE CPR/EPI/H-T
ATROPINE
0.5 MG
REPEAT 3-5 MIN
MAXIMUM OF 3 MG