Code Management

Question 1

Epinephrine

Answer 1

Uses: bronchodilator, vasopressor, anti-asthmatic
* 1 mg Q 3-5 min IVP (can be followed w/ continuous infusion, no max dose)

Question 2

Liodcaine

Answer 2

Use: Ventricular dysrthmias, V tach (pulse or pulseless), V fib (IV), local anesthetic

Action: inhibts sodium - suppresses automaticity + depolarization of the ventricles

• 1-1.5 mg/kg bolus ( max dose: 3 mg/kg) (contin infusion after max dose)

Question 3

Electrical Therapy

Answer 3

Debfibrillation: V tach, V fib, Torsades
* Depolarizes the heart
* not in sync mode
* make sure all clear
* Full 2 min round of CPR b/4 pulse check

Cardiversion: atrial dysrhythmias- A fib, SVT, A flutter, unstable V tach w/ pulse
* synchronized counter shock -> allows SA Node to control
* Sedate pt before ! benzo-versed, ativan
* Sync w/ R wave
* make sure all clear

Question 4

V Tach w/ pulse

Answer 4

cardioversion -> drugs: amio, lidocaine

Question 5

V Tach w/o pulse

or V fib

Answer 5

CPR -> defib -> drugs: epi, vasopressin, lidocaine, amio

Question 6

PEA

Answer 6

CPR -> epi

Question 7

Asystole

Answer 7

CPR-> epi