V-Fib

Question 1

After you recognize v-fib rhythm you should defibrillate 1 shock at what setting of Joules?

Answer 1

• Biphasic: 120-200 joules

- Monophasic: 360 joules

Question 2

What should you do before delivering the shock and what should you do after?

Answer 2

• Clear

- Resume CPR

Question 3

After defibrillate and resume CPR how long do you continue CPR?

Answer 3

2 minutes/5 cycles (round 1)

Question 4

What is the next step after completing the first round of 5 cycles of CPR?

Answer 4

Check rhythm –> is rhythm shockable? If yes administer another shock and continue CPR for 5 cycles (round 2)

Question 5

After administering another shock what medication and dose should you administer during the 2nd round of CPR?

Answer 5

Administer IV Epinephrine 1mg

- repeat every 3-5 minutes

Question 6

What should you consider after the second round of CPR?

Answer 6

Advanced airway and capnography

- 1 breath every 6 seconds (10 breaths per minute)

Question 7

After the 2nd round of 5 cycles of CPR what should you check?

Answer 7

Check rhythm –> is rhythm shockable? If yes administer another shock and continue CPR for 5 cycles (round 3)

Question 8

After administering another shock what medication and dose should you administer during the 3rd round of CPR?

Answer 8

Administer IV Amiodarone 300mg once and then consider an additional 150mg.

Question 9

What other medication can you administer instead of amiodarone and what is the dose?

Answer 9

Lidocaine IV 1.0-1.5 mg/kg first then 0.5-0.75mg/kg. Max 3 mg/kg

Question 10

What medication and dose should you administer for torsades de pointes?

Answer 10

Magnesium 1-2g IV