Cardiac arrest part 2 Flashcards
Basic Life support algorithm
Verify scene safely–>non-responsive victim–> activate EMS via mobile device/get or send someone for _______
Healthcare provider: check pulse (take no more than 10 seconds)
lay rescuer: omit pulse check
no pulse—>begin cycles of ______compressions and 2 breaths until AED arrives
Lay rescuer: begin cycles of 30 compressions and 2 breaths until AED arrives. Lay rescuer’s who are untrained or unwilling to provide respirations can use chest compressions only approach
AED arrives–>check rhythm
Shockable
Give 1 shock
Resume CPR immediately for ________
Not shockable
Resume CPR immediately for 2 minutes
Check the rhythm every 2 minutes
If pt has Pulse
Monitor until EMS arrives. If breathing is not normal, give 1 breath every 5-6 sec
Recheck pulse every 2 min
If opioid overdose is suspected, administer ________if available
AED
30
2 minutes
naloxone
ACLS
Pulseless arrest victim
Start CPR
Assess for shockable rhythm
If Yes
VF/PVT
One shock
Resume CPR immediately
after 2 minutes recheck the rhythm
Persistent VF/PVT
One shock
Resume CPR immediately and administer_________
after 2 minutes recheck rhythm
Persistent VF/PVT
One shock
Resume CPR immediately and consider
_________or lidocaine
Treat reversible causes
after 2 minutes recheck the rhythm
If no shockable rhythm
PEA/Asystole
Resume CPR immediately and administer epinephrine
Evaluate for reversible cause
after 2 minutes recheck the rhythm
if patient develops return of spontaneous circulation, begin post-resuscitation care
epinephrine
amiodarone
We don’t shock asystole or pulseless electrical activity
Amiodarone and lidocaine may be considered in patients with VF/PVT unresponsive to defibrillation
______________is recommended for pts in cardiac arrest
epinephrine
Standard dose epinephrine (1mg IV/IO every 3-5 minutes) may be reasonable for pts with cardiac arrest
In pts with cardiac arrest with a shockable rhythm, it may be reasonable to administer epinephrine after initial debrillation attempts have failed
In pts with cardiac arrest a nonshockable rhythm, it may be reasonable to adminster epinephrine as soon as feasible after the onset of cardiac arrest
High dose epinephrine is not recommended for routine use in cardiac arrest
Amiodarone
300 mg IV/IO push (can give additional 150 mg IV/IO push if persistent VT/VF or if VT/VF recurs), followed by infusion of 1 mg/min for 6 hours, and then 0.5 mg/min × 18 hours
For stable VT with a pulse
what is the medication?
150 mg IV over 10 minutes, followed by infusion of 1 mg/min for 6 hours, and then 0.5 mg/min × 18 hours
150 mg IV over 10 minutes, followed by infusion of 1 mg/min for 6 hours, and then 0.5 mg/min × 18 hours
amiodarone
AF (rate control)
300 mg IV over 1 hour, then 10-50 mg/hour over 24 hours
Amiodarone
What is the medication?
1-1.5 mg/kg IV push (can give additional 0.5-0.75 mg/kg IV push every 5-10 minutes if persistent VT [maximum cumulative dose = 3 mg/kg]), followed by infusion of 1-4 mg/min (1-2 mg/min if liver disease or HF)
Lidocaine
What are good chest compressions called in ACLS? ______________
High quality compressions
How often do you want to switch rescuers?
