Pulseless VFib/Vtach

Question 1

What should they be defibrillated at?

Answer 1

360 J

Question 2

After defibrillation these pt’s need?

Answer 2

Epi or vasopressin

Question 3

What is the dose of epinephrine?

Answer 3

1mg 1:10,000 IV every 3-5 min

Or

2mg 1:1,000 ET tube every 3-5 min

Question 4

If vasopressin is chosen what is the dose and route?

Answer 4

40 units every 20 min IV

Question 5

Once the 1st round of drugs is given and you administer another defibrillation what drug is given next?

Answer 5

Amioderone

Question 6

What is the initial dose and secondary dose of amiodarone given to a pulseless vfib/vtach pt?

Answer 6

300 mg first dose followed by 150 mg secondary dose

Question 7

What drug should be given to theses pt’s after 10 min?

Answer 7

Sodium Bicarb 1mEq/kg

Question 8

What other 3 drugs should be considered in an arrest after 10 min?

Answer 8

Thiamine- 100 mg
D50- 25 g
Narcan- 0.5-2 mg

Question 9

A pt in pulseless vfib /vtach needs immediate?

Answer 9

Defibrillation