Medical Protocols Flashcards
Stomach pain
Cardiac? > Cardiac TG
Cardiac monitor regardless if stable or not
Low BP or poor perfusion > 500 ml NS bolus until sys over 90 (Max is 1L)
4 mg Zofran if nauseous (repeat x 15 minutes)
How many Jules for defibrillation of v-tach / v-fib?
360 Jules
Meds for v-fib / v-tach
1st - Epinephrine (1:10,000) 1mg
2nd - Amiodarone 300mg
3rd - May repeat Amiodarone 150mg if rhythm persists
Reversible Causes of v-fib / v-tach
Hypovolemia Hypoxia Hydrogen ion (acidosis) Hypothermia Hypo/Hyperkalemia Hypoglycemia Tension pneumothorax Tamponade (cardiac) Toxins Thrombosis (pulmonary)(PE) Thrombosis (coronary)(MI)
Low BP with ROSC
Systolic BP < 90
Push Dose Epi 1 ml (10 mcg) IV/IO
every 3 min
Titrate to a Systolic BP > 90
Drugs for Asystole/PEA
Normal Saline bolus 1000ml IV/IO
Epinephrine (1:10,000) 1mg
Transcutaneous pacing
Used for bradycardia. Pacing with pads.
Meds for bradycardia
Pace, pain, sedation, blood pressure, saline.
If non-symptomatic > monitor and txp
Consider Atropine 1mg IV/IO while waiting for TCP May repeat every 3 – 5 minutes as needed Should not be used in wide‐ complex rhythms or in 2 degree or 3 degree heart blocks Maximum 3mg
Consider sedation Midazolam (versed) 1mg IV/IO Titrate in 1‐2mg increments may repeat if needed Maximum 5mg
Consider pain control if BP > 90 Fentanyl 25 – 100mcg IV/IO in 25 – 50mcg increments May repeat 25mcg every 20 minutes if needed Maximum 200mcg
Consider Push Dose Epi 10mcg (1 ml) IV/IO
Every 3 minutes, titrate to a BP > 90
Normal Saline bolus 500ml IV/IO, may repeat as needed
Maximum 1L
Tachycardia wide complex
If symptomatic, consider Amiodarone 150mg IV/ IO drip over 10 minutes May repeat x 1 dose if needed
SVT
Normal, narrow complex, tachycardia
How long is passive ventilation during CPR
3 cycles / 6 minutes
Ventilation during cardiac arrest
1 every 10 seconds. (6 per minute).
