RRT
helps PREVENT a code
Defibrillation
provides shock to heart to promote contraction / depolarization. Administer during NO PULSE.
Cardioversion
Administer to treat symptomatic tachycardia
v fib & pulseless v tach treatment meds
Epinepherine, vasopressin ONLY ONCE, Amiodaroarone (drug of choice), mag if torsades
PEA (pulseless electrical activity, rhythm no pulse, THERE IS ELECTRICAL ACTIVITY) treatment
Epi!
Causes of PEA / Asystole
Hypoxia, Hypovolemia, Hypothermia, H+ ions, Hypo/Hyper kalemia
Tablets (OD), Tamponade, Tension pneumothorax, Thrombosis,
Confirm asystole with ..
with two leads
Treat Asystole with
Epi! CPR no shock
Treat symptomatic Bradycardia with…
unstable tachy treatment
cardioversion shock
tachycardia and a high rr means ….
hypoxemia - low oxygen in the blood
responsive v tach.. what med?
Amiodarone
After defib..
continue compressions for 2 minutes THEN CHECK PULSE
When should you stop compressions
TOD
when a rhythm returns
find a DNR - will of patient