VF/VT

Question 1

When you know pt is in VF/pVT, what are the first few steps you take?

Answer 1

1. shock
2. resume CPR
3. IV/IO access
4. Two minutes later, check rhythm for 10 seconds max. If it is shockable, then shock the patient

Question 2

When do we give Epi? Dose?

Answer 2

-Between second/third shock
-1 mg IV every 3-5 minutes (SLAM IT)

Question 3

After the first dose of EPI, explain what you would do

Answer 3

1. Give epi
2. Two minutes of CPR, conduct another rhythm check → reads shockable → resume CPR while defibrillator charges → shock → CPR for 2 minutes

Question 4

When can we administer amiodarone/lidocaine? Dose?

Answer 4

After the third shock
-Amiodarone: 300 mg IV bolus → 150 mg IV bolus
-Lidocaine: 1-1.5 mg/kg IV first then .5-.75 mg/kg IV at 5-10 minute intervals (max dose of 3)

Question 5

If the rhythm is not shockable, what would you do?

Answer 5

if there are no signs of return of spontaneous circulation (ROSC) –> PEA/asystole pathway