Adult - ROSC - 2025/04/17 Protocols

Question 1

Initial Tx of the hypotensive adult ROSC pt involves ____.

Answer 1

30 mL/kg NS bolus

Question 2

If adult ROSC pt remains hypotensive after a NS bolus, what is the next line of tx?

Answer 2

2 mcg/min IV/IO drip of norepinephrine (Levophed)

Or 5 mcg push dose epi (1:100,000)

Question 3

How is norepi mixed in the adult hypotensive ROSC pt?

Answer 3

4 mg in 250 mL D5W

Question 4

If a ROSC pt presented initially with VF/VT and given amiodarone, what is given next? Dose?

Answer 4

Amiodarone drip; 1 mg/min

Question 5

If a ROSC pt presented initially with VF/VT and given liodcaine, what is given next? Dose?

Answer 5

2 mg/min lidocaine

Question 6

How is amiodarone mixed in the adult ROSC pt where initial rhythm was VF/VT?

Answer 6

150 mg Amiodarone in 100 mL D5W (or pre-mixed)

Question 7

For the adult hypotensive ROSC patient, how often is levophed increased?

Answer 7

q5min

Question 8

What is the maximum dose of levophed for the adult hypotensive patient.

Answer 8

20 mcg/min

Question 9

If a patient in VF/VT was converted before amiodarone/lidocaine, what must be done?

Answer 9

Contact medical control for orders for an anti-arrhythmic infusion