PEA and Asystole

Question 1

What are your differentials for PEA/Asystole?

Answer 1

(Hs and Ts) Hypovolemia, hypoxemia, hypothermia, hyperkalemia, hypokalemia, hydrogen ions, toxins (over dose), tamponade, tension pneumo, coronary thrombosis, and pulmonary thrombosis

Question 2

What are the parts of the initial assessment?

Answer 2

1) confirm pulselessness
2) place autopulse or begin compressions
3) open airway, insert OPA, begin manual ventilation w/ 100% oxygen at once every 10 seconds.

Question 3

Go through the rest of the protocol

Answer 3

1) 4 lead, and defib pads
2) Establish IV of NS
3) administer Epinephrine 1 mg 1:10000
4) establish advanced airway
5) attach capnography
6) reassess rhythm every 2 minutes
7) administer epinephrine 1 mg 1:10000
8) reassess rhythm

Question 4

How much fluid should be given if hypovolemia is suspected?

Answer 4

500 mL bolus

Question 5

What should be done if glucose is less than 60?

Answer 5

Administer 100mL of D10

Question 6

If suspected acidosis, hyperkalemia, prolonged resuscitation, tricyclic OD then administer:

Answer 6

sodium bicarbonate 1mEq/kg IVP

Question 7

If suspected narcotics OD:

Answer 7

Administer 2mg of Narcan in 0.5mg doses

Question 8

When an advanced airway is placed how often should you ventilate?

Answer 8

once every 6 to 8 seconds.