CVICU ACLS protocols

Question 1

Vfib/Pulseless V-tach

Answer 1

-Defibrillate BEFORE compressions
-Deliver 3 stacked shocks
-Reduce epi to 0.1mg

Question 2

Asystole/Bradycardia

Answer 2

-AV pacing or V pacing
-Pacer rate 80-110 @ 20-25 mA
-attempt atropine @ 3mg IV push total

Question 3

Look for reversible causes:

Answer 3

ventilator issues
ETT placement
pneumo/hemothorax
tamponade
electrolyte imbalances