cardio version

Question 1

indications for cardiversion

Answer 1

severe compromise AF/flutter
severe comp. SVT
moderate/severe conscious VT

Question 2

management of pt still obeying commands

Answer 2

ICP for ketamine IV to disassociate

cardiovert in max jouls using sync. mode

Question 3

management of not obeying commands

Answer 3

cardiovert in max jouls in sync mode
repeat once if fails

Question 4

steps of cardio version on corpuls

Answer 4

1. put monitor into manual mode (top right)
2. select sync (bottom left)
3. select max jouls
4. charge
5. shock
6. rhythm check + ECG if possible

Question 5

if the patient is still obeying commands, what should be completed before cardioverting

Answer 5

get ICP for dissociation
IVA
02 admin
ECG + capno
offsider prep for arrest

Question 6

what to do if patient still obeying commands and ICP not avaliable

Answer 6

call clinical for further advise

Question 7

how should you place pads for cardio version

Answer 7

posterior and anterior when feasible

Question 8

post shocking a person what should be confirmed

Answer 8

the rhythm and pertinent vitals of the patient
if the monitor is still in sync mode if a second shock needs o be admisntered

Question 9

if the rhythm has not reverted post 2 shocks…

Answer 9

seek clinical advise

Question 10

complications of cardio version

Answer 10

pain, emboli, arrest

Question 11

what must be used when cardioverting

Answer 11

the cardio version checklist

Question 12

outline what severely compromised looks like

Answer 12

markedly abnormal vitals e.g. severe hypotension, inability to obey commands, severe SOB, high risk of arrest or status 1