Algorithms to Treat the Rhythm

Question 1

What are the 4 rhythm’s in Pulseless Arrest?

Answer 1

1. V-Fib
2. Pulseless VT
3. Asystole
   4 PEA

Question 2

Is V-Fib Shockable?

Answer 2

Yes

Question 3

Is Pulseless VT Shockable?

Answer 3

Yes

Question 4

Is Asystole Shockable?

Answer 4

No

Question 5

Is PEA Shockable?

Answer 5

No

Question 6

What is the initial shock dose for BIPHASIC?

Answer 6

120j to 200j

Question 7

What is the initial shock dose for MONOPHASIC?

Answer 7

360j

Question 8

What is the medication sequence for a SHOCKABLE rhythm? and if it is refractory VF, what drug is used?

Answer 8

1. Epinephrine.
   for REFRACTORY VF:
2. Amiodarone
3. Amiodarone

Question 9

What is the dose and frequency for Epinephrine?

Answer 9

1 mg IV/IO 1:10,000

every 3 to 5 minutes

Question 10

What is the dose and frequency for Amiodarone?

Answer 10

300 mg IV/IO push followed by,

150 mg every 3 to 5 minutes

Question 11

If the rhythm is NOT shockable (Asystole and PEA), how should you treat?

Answer 11

1. Pulse check, if NO pulse
2. CPR
3. Epinephrine 1 mg of 1:10,000 IV/IO, Every 3 to 5 min.
4. Possible Cause’s H’s and T’s.