arrest Flashcards
what signs/ symptoms of peri-arrest arrhythmias may lead to arrest
shock (hypotension <90) // syncope // MI // HF
1st line mx peri-arrest bradycardia
IV atropine (500mcg)
if 1st line interventions for bradycardia do not work what can be done (3)
atropine 3mg // transcut pacing // isoprenaline or adrenaline
what are RF for arrest in bradycardia (4)
complete heart block // recent asystole // type II heart block // ventricular pause >3 secs
in peri-arrest tachycardia when should DC shocks be given
if any adverse sign on ABCDE (unstable patients) –> shock 3 times
in a stable patient with broad QRS V tach what is treatment
amiodarone IV
what would an irregular broad complex tachycardia in a stable patient indicate
a fib with bundle branch block
how are narrow QRS tachycardias treated (SVT)
vagal manouvers –> IV adenosine
what are shockable rhythms
V fib or pulseless VT
how should V fib or pulseless VT be treated if not on monitor
1 shock –> 2 mins CPR
how should V fib or pulseless VT be treated if on a monitor
up to 3 shocks
after 3 shocks, in VT/ VF what drugs should be given (2)
1mg adreneline every 3-5 mins // amiodarone 150mg (or lidocaine)
what should be given after 5 shocks in VT/VF
2nd dose 150mg amiodarone
what drug is given for non-shockable rhythms
adrenaline 1mg repeat every 3-5 mins
if PE is suspected what drugs should be given in arrest + how long should CPR last
thrombolytic: 60-90mins
