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adult vf/vt
| Question | Answer |
|---|---|
| start CPR (see adult cardiac arrest stack for capnography info) how do you venitlate a patient w/ an advanced airway during CPR? | 8-10 breaths per min w/ continuous chest compressions |
| CPR initiated, pads attached, rhythm shockable. what next | shock |
| CPR initiated, pads attached, rhythm shockable, shock deilvered, what next? | chest compressions |
| CPR initiated, pads attached, rhythm shockable, shock deilvered, chest compressions resume. What are you doing at this time? | gaining venous access |
| CPR initiated, pads attached, rhythm shockable, shock deilvered, chest compressions resume, CPR 2 min, IV access rhythm check, shockable, shock delivered. Next 2 steps? | epinephrine 1: 10,000 IV 1 mg every 3-5 min or vassopressin 40 units ONE USE ONLY either first or second round of epi consider advanced airway |
| CPR 2 min, epi 1 mg, rhythm check, shockable, shock delivered, what is the next drug? | amiodarone - first dose 300 mg |
| CPR 2 min, epi 1 mg, rhythm check, shockable, shock delivered, CPR 2 min, amiodarone 300 mg, what is the next drug? | epinephrine 1: 10,000 IV 1 mg every 3-5 min |
| after administering amiodarone 300 mg, what else should you be doing (other than CPR) | treat reversible causes |
| what is the initial dose of a biphasic unit | 120-200 J |
| what is the initial dose of a monophasic unit | 360 J |
| what are the second and all subsequent doses of a biphasic unit? | equivalent or higher |
| what are the h's | hypovolemia hypoxia hydrogen ion (acidosis) hypo/hyperkalemia hypothermia |
| what are the t's | tension pneumothorax tamponade, cardiac toxins thrombosis, pulonary thrombosis, coronary |