Als Flashcards
What to do in SVT
Valsalva
Modified valsava
Carotid massage but must listen for carotid bruits
Bradycardia is
And give
Less than 40 bpm
Atropine - 600mcg I’ve/io
If non shockable give
1mg adrenaline 1 in 10,000
And continue even if go into shockable every 3-5 minutes
Give after 3rd shock
After 5th shock
Adrenaline 1mg (1 in 10,000)
Amiodarone (300mcg)
Adrenaline
And
Amidoarone but 150
Reversible causes
Hypoxia
Hypothermia
Hypovolaemia
Hypokalaemia
Thrombosis
Tension pneumothorax
Tamponade
Toxins
Post ROSC adrenaline
Is BP less than 90
Is pulse rate less than 100
Is radial pulse absent
If yes to all give adrenaline
0.1mg so 1ml every 2 minutes up to 0.5mg so 5ml
Drowning als
Give 5 rescue breaths then start chest compressions
Hypothermia als
If less than 30 c then only 3 shocks
And withhold drugs
If 30-35 then double intervals between drug doses
If don’t know temp then double the drugs doses
Paeds als
5 rescue breaths to start as most likely cause is hypoxia
Then start chest compressions 15:2