VF/ Pulseless VT Flashcards
What rhythms are shocked? V fib Pulseless v tach Asystole PEA
V fib
Pulseless v tach
What does is recommended for shocking?
120-200J Biphasic
360J Monophasic
What is coronary perfusion pressure?
What CPP is necessary for ROSC to occur?
Aortic relaxation pressure minus right atrial relaxation pressure
More than or equal to 15mmHg
Self adhesive pads or paddles when shocking?
Self adhesive pads!
When is epinephrine given during VF/ pulseless VT?
Every 3-5 mins
1mg IV/IO
What is the first line anti arrythmia before or after a shock?
Amiodarone 300mg bolus IV/ IO
Clinically demonstrated to improve rate of ROSC
When is MgSO4 considered as an anti arrhythmic?
Torsades de pointes associated with recurrent or persistent VT
If
1 PETCO2 is less than 10 during CPR
2 arterial relaxation pressure is less than 20 mmHg
3 SCVO2 less than 30%
what should be done?
BOTH: Improve compressions and vasopressin therapy
How to give epinephrine or vasopressin through ET route?
2X to 2.5X regular dose diluted in 5-10ml sterile water injected directly into the trachea