VF/Pulseless VT

Question 1

What are the appropriate steps to take for a patient in V-Fib or PULSELESS V-Tach?

Answer 1

1. LOC (Level of Consciousness)
2. Circulation - CPR PRN
3. IV, O2, Monitors
4. Defibrillate (120J) - biphasic
5. Epinephrine 1 mg (Q 3-5 mins)
6. Defibrillate (150J) - biphasic
7. Epinephrine 1 mg (Q 3-5 mins)
8. Defibrillate (200J) - biphasic
9. Amioderone 300 mg IV
10. Defibrillate (200J) - biphasic
11. Amioderone 150 mg IV
12. Hs & Ts

Question 2

What are the reversible causes of Cardiac Arrest (H’s & T’s)?

Answer 2

Hypovolemia
Hypoxia
Hydrogen ions (acidosis)
Hypo-/Hyperkalemia
Hypothermia

Tension PTX
Tamponade, Cardiac
Toxins
Thrombosis - pulmonary
Thrombosis - coronary

Question 3

What drug can be used in place of Epi for a patient in VF or Pulseless V-Tach?

Answer 3

Vasopressin

Question 4

If the patients rhythm converts to Torsades de Pointes, which drug should be considered?

Answer 4

Magnesium Sulfate

Question 5

Which drugs can be administered through an endotracheal tube?

Answer 5

Narcan
Atropine
Vasopressin
Epinephrine
Lidocaine

Question 6

The typical does of drugs administered via ETT is _____ compared to IV route?

Answer 6

2-2.5 X