Cardiac arrest part 3

Question 1

what is the role of naloxone…What is the reversible cause? Opioid overdose…does it work for benzodiazepine overdose? NO!

Question 2

Other identifiable reversible things that AED is not going to tell you? You need your eyes and you can visualize a rhythm with something like a 12 lead or a life pack

Question 3

It’s called a life pack because it has the ability to save someone’s life so does the AED but there’s no pictures so on the H and T’s what do you see

Question 4

Why are they called the H’s and T’s

Question 5

H and T are normally gone through at the very end of your ACLS algorithm before they call that pt’s death…the H and T’s are reviewed before time of death is called because maybe we forgot something that we can reverse…

Question 6

Do we have the benefit of waiting very long in someone whose arrested? NO…what will you be doing while someone maybe is trying to figure out if there’s reversible causes and someone is down and unresponsive without a pulse? Chest compressions…how many high quality chest compressions?

Answer 6

100 to 120 high quality compressions per minute

Question 7

What is the rate that you want to administer high quality chest compressions at?

Answer 7

100 to 120

Question 8

What is the dose of epinephrine you are going to give in ACLS? 1mg IV or IO every 3 to 5 minutes

Question 9

Stable Vt…pt has a pulse…its urgent because we don’t them to lose that pulse…so vtach and vfib

Question 10

Pulseless electrical activity aka PEA

Question 11

Do we shock asystole? NO
Do we shock PEA? NO, electrophysiology looks good so shocking it will make it worse

Question 12

PVCs are not normally that bad

We start to worry about PVCs when its 3 consecutive beats with a heart rate over 100 beats per minute