Cardiac Arrest – Asystole/Pulseless Electrical Activity (PEA)

Question 1

What are the Epi and Saline parameters for Aystole/PEA

Answer 1

Epinephrine* 0.1 mg/mL
Administer ASAP goal ≤6 minutes
* IV/IO 1 mg (10 mL) q 6 min
* Repeat x 2, max of 3 doses during initial arrest.
* If ROSC then re-arrest an additional 3 doses
may be administered.

Normal Saline
* IV/IO bolus- 1 Liter

Question 2

When one of the following is a suspected cause of arrest:
History of Renal Failure/Dialysis

Answer 2

Calcium Chloride
o IV/IO – 1 g
o Repeat x 1 in 10 min
* Sodium Bicarbonate
o IV/IO – 1 mEq/kg
o Repeat x 2 0.5 mEq/kg q 5 min

Question 3

When one of the following is a suspected cause of arrest:

Tricyclic Antidepressant Overdose

Answer 3

Sodium Bicarbonate
o IV/IO – 1 mEq/kg
o Repeat x 2 0.5 mEq/kg q 5 min

Question 4

When one of the following is a suspected cause of arrest:

Beta Blocker Overdose

Answer 4

• Glucagon
  o IV/IO – 2 mg up to 10 mg when available

Question 5

When one of the following is a suspected cause of arrest:

Calcium Channel Blocker Overdose

Answer 5

• Calcium Chloride
  o IV/IO – 1 g
  o Repeat x 1 in 10 min
• Glucagon
  o IV/IO – 2 mg up to 10 mg when available

Question 6

PEDS - What are the Epi and Saline parameters for Aystole/PEA

Answer 6

Epinephrine* 0.1mg/mL
Administer ASAP goal ≤6 minutes
* IV/IO 0.01mg/kg (0.1 mL/kg) q 6 min
* Repeat x 2, max of 3 dose during initial arrest.
* If ROSC then re-arrest an additional 3 doses may
be administered.

Question 7

PEDS - When one of the following is a suspected cause of arrest:

History of Renal Failure/Dialysis

Answer 7

Calcium Chloride
o IV/IO – 20 mg/kg
o Repeat x 1 in 10 min
* Sodium Bicarbonate
o IV/IO – 1 mEq/kg
o Repeat x 2 0.5 mEq/kg q 5 min

Question 8

PEDS - When one of the following is a suspected cause of arrest:

Tricyclic Antidepressant Overdose

Answer 8

Sodium Bicarbonate
o IV/IO – 1 mEq/kg
o Repeat x 2 0.5 mEq/kg q 5 min

Question 9

PEDS - When one of the following is a suspected cause of arrest:

Beta Blocker Overdose

Answer 9

Glucagon
o IV/IO – 0.1 mg/kg up to 10 mg when available

Question 10

PEDS - When one of the following is a suspected cause of arrest:

Calcium Channel Blocker Overdose

Answer 10

Calcium Chloride
o IV/IO – 20 mg/kg
o Repeat x 1 in 10 min
* Glucagon
o IV/IO – 0.1 mg/kg up to 10 mg when available

Question 11

Parameters If Aystole/PEA patient is hypothermic?

Answer 11

If patient is hypothermic – only ONE round of medication administration prior to Base Hospital contact. Fie