V-Fib and Pulseless V-Tach

Question 1

What are the three parts of your initial assessment when no pulse is present?

Answer 1

1) Confirm pulselessness
2) Place auto pulse, perform 30 seconds of compressions.
3) Open airway, insert OPA, begin manual ventilations at once every 6 seconds on 100% oxygen

Question 2

Go through the rest of this protocol

Answer 2

1) Place on cardiac monitor with cables and pads
2) Confirm rhythm
3) Administer 120 Joules shock
4) Resume CPR for 2 min
5) Est. IV access w/ Normal Saline
6) Epinephrine 1:10,000
7) Flush
8) 300 mg Amiodarone
9) Secure advanced airway
10) Capnography
11) Rhythm check
12) 150 Joules Shock
13) Epinephrine 1:10,000
14) Amiodarone 150 mg IVP
15) 200 Joules

Question 3

When should you stop the shock/drug/shock process?

Answer 3

Once rhythm changes, ROSC is obtained, or drug supply is exhausted.

Question 4

Once advanced airway is in place how often should you ventilate?

Answer 4

once every 6 to 8 seconds.

Question 5

What dose of which drug should you give if Torsades is noticed?

Answer 5

Magnesium Sulfate 1 to 2g IVP

Question 6

If ROSC occurs what is your next action?

Answer 6

Amiodarone drip 150 mg over 10 minutes

Dilute 150 mg of Amiodarone in 100 mL of D5W yielding 1.5 mg/ml.

Question 7

When should you attempt an IO?

Answer 7

After one IV attempt or 90 seconds.