PEA and Asystole Algorithm Flashcards

1
Q

What does it mean to have PEA?

A

There is organized electrical activity visible on the monitor, but no pulse.

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2
Q

What is your first line drug of choice for PEA?

A

Epinephrine 1 mg. 1:10000

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3
Q

What are H’s and T’s?

A
Hypoxia
Hypovolemia
Hydrogen ions
Hyperkalemia
Hypo and hyperthermia
Hypo and hyperglycemia
Tension pneumothorax
Cardiac Tamponade
Toxins
Cardiac or pulmonary Thrombosis
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4
Q

What is hypoxia?

A

Low o2 level in tissues

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5
Q

How much fluid do you give in a fluid bolus? What do you need to check while doing so?

A

20 mL/kg 500 mL at a time, check for lung sounds throughout

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6
Q

What would correct acidosis?

A

Sodium bicarbonate 1 mEq/kg

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7
Q

What would correct hyperkalemia?

A

Calcium gluconate 1 g.

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8
Q

What is a tension pneumothorax?

A

One lung collapsed

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9
Q

What are the two steps that change in the asystole algorithm from PEA?

A

Check EKG in two leads, to make sure it’s not fine v-fib

After 15-20 minutes of work, consider termination of efforts

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10
Q

What are the steps for PEA algorithm?

A
CAB
CPR and monitor
IV IO ET
Epinephrine q 3-5 minutes
Look for treatable causes
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