Defibrillation

Question 1

Where do you apply defibrillation pads for an adult patient?

Answer 1

Right clavicle

Left ribs

Question 2

Where do you apply defibrillation pads for a paediatric patient?

Answer 2

If < 10kg:
Anterior and posterior chest

If >10kg:
As per adult

Question 3

What is the correct energy to charge defibrillator to for an adult patient?

Answer 3

200J

Question 4

What is the correct energy to charge defibrillator to for a paediatric patient?

Answer 4

4J/kg

Question 5

How long does each CPR cycle last before the nurse in charge of defib must commence COACHED?

Answer 5

2 mins

Question 6

Outline COACHED

Answer 6

Compressions continue
Oxygen away
All else clear
Charge (200J for adult, 4J/kg for paediatric)
Hands off / Im safe
Evaluate rhythm
Defibrillate or Disarm

Question 7

What rhythms are shockable?

Answer 7

VF

Pulseless VT

Question 8

Draw VF

Answer 8

See google

Question 9

Draw VT

Answer 9

See google

Question 10

What rhythms are non-shockable?

Answer 10

Asystole

PEA (pulseless electrical activity)

Question 11

For a patient in conscious VT what is the treatment?

Answer 11

• Loading amiodarone 300mg in 100mL 5% dex over 20-30 minute (consider BP!)
• Consider cardiology and cath lab esp if thrombus is cause
• Consider elective DCR

Question 12

For a patient in AF what is the treatment?

Answer 12

• Consider amiodarone loading 300mg in 100mL 5% dex over 20-30 minute (consider BP!)
• Consider elective DCR

Question 13

For a patient with severe bradycardia what is the treatment?

Answer 13

• Atropine 500-600mcg up to a total of 3mg

- Consider external pacing

Question 14

For a patient with SVT what is the treatment?

Answer 14

• Adenosine 6 mg , 12mg , 12mg

- Synchronised DCR