Cardiac Arrest Flashcards
What do you do if VF / VT identified [3]
Shock + CPR up to 3x
IV adrenaline after every shock
- 10ml 1:10000 IV
IV amiodarone
- After 3 shocks
- 300mg I V
What do you do if witnessed in CCU
3 shocks then CPR initiated
If astyole [5]
IV adrenaline ASAP
2 mins CPR
Recheck rhythm
Not able to defib
What are shockable rhythms
VT and VF
Non shockable [2]
Astyole
Pulseless electrical activity
What suggests unstable patient that is peri-arrest? [4]
Shock - low BP <90
Syncope
MI
HF
How do you treat? [4]
ABCDE
IV access + bloods
ECG
Decide if stable or not
If unstable [2]
DC shock
Treat as per rhythm detected on defib
If broad complex and regular [2]
Assume VT
IV amiadarone infusion
If broad complex and irregular [2]
AF with BBB = treat as SVT
Polymorphic VT = magnesium sulphate
If narrow and regular [3]
Valsalva/ carotid sinus massage
IV adenosine if fails
Consider atrial flutter if fails
If narrow and irregular [4]
AF
Anti-coagulate
DC cardioversion or chemical
BB for rate control
What dose of adrenaline in cardiac arrest
10ml of 1:10000
What dose in anaphylaxis
0.5ml IM 1 in 1000
If go into cardiac arrest what do you do [4]
Start chest compression
Get defibrillator on ASAP which will see if shockable rhythm
Someone will call 2222 and get resus trolley
Wide bore IV access
