V-Fib Algorithm Flashcards
How long are CPR windows?
2 minutes
How many joules for biphasic?
200 J
What is a joule?
Watts/sec
How many joules for monophasic?
360 joules
What do you need for an IV?
1000 mL NS
Maxi drip set
Largest catheter possible
Proximal vein
9 ways to confirm endotracheal tube placement?
- Visualize tube placement in cords
- End tidal CO2 colorimetric (yellow is good)
- End tidal CO2 waveform (On monitor)
- Listen to lung sounds. Epigastric first, then upper left, right, lower right, lower left.
- Bilateral chest excursion (rise)
- Condensation in tube
- 22 cm depth for male, 21 cm for female. On average
- EDD Esophageal detector device
- Chest x-rayl
What are first line cardiac drugs? First option and second option.
Epinephrine and vasopressin
What are second line cardiac drugs? First and second option.
Lidocaine and amiodarone
Epinephrine cardiac dose?
1 mg. 1:10000.
Vasopressin dose?
40 units. One time dose
How long does epinephrine last?
Loses effect after 3 to 5 minutes.
Lidocaine dose?
1-1.5 mg/kg. max dose is 3 mg/kg
Amiodarone dose?
300 mg. max dose of 450 mg.
What is ROSC?
Return of spontaneous circulation
What do you fix when you get ROSC?
- Rate
- BP
- Ectopic
What do you do for a dialysis patient with V-fib/V-tach?
Give them calcium gluconate at 1g.
Give sodium bicarbonate at 1mEg/kg.
How much pressure do you put on the defib pads? And how do you know it’s enough?
25 lbs.
You’ll go down 1/8-1/4 inch.
What is the general order of the v-fib algorithm?
CAB CPR Defibrillate ASAP CPR - 2 minute window IV/IO ETT Defib CPR 1st line drugs Defib CPR 2nd line drugs Defib CPR 1st line drugs....continue for 15 minutes or so or ROSC
