Terms in this set (25)
Respiratory arrest protocol
Airway: head-tilt, Chin lift
Breathing: 2 breaths
Circulation: check carotid pulse 5 to 10 secs
Defibrillation: No pulse: attach AED or manual defibrillator
Rescue breathing frequency
1 breath every 5 to 10 seconds
Pulse check frequency
5 to 10 sec carotid pulse check every 2 minutes
Increase thoracic pressure which decreases venous return to heart and decreases cardiac output
increase gastric inflation which may lead to aspiration
Sizing and placing oropharyngeal airway
Tip at corner of mouth, phalange at angle of mandible
Insert upside down, then rotate
Sizing and placing NPA
Tip of pt's nose to the earlobe
What to check for just after insertion of airway
Return of spontaneous respirations
What to have ready to go when dealing with an airway
suction, 80 to 120 mm Hg
During ET insertion, may apply...
CPR compession to ventilation ratio
Most common rhythm in witnessed sudden cardiac arrest
VF or pulseless VT
type of shocks for treating VF/pulseless VT
high-energy unsynchronized shocks
VT/pulseless VF initial meds and dosages
epinephrine 1 mg, repeat every 3 to 5 minutes
vasopressin 40 U, may substitute for 1st or 2nd dose of epi
epinephrine class and MOA
alpha-adrenergic effects, vasoconstriction
vasopressin class and MOA
nonadrenergic peripheral vasoconstrictor
VF/pulseless VT additional meds to consider
magnesium for torsades de pointes
admin instructions for ACLS meds
follow bolus by 20cc NS
elevate extremity for 10 to 20 seconds
may take 1 to 2 minutes for med to reach central circulation
amiodarone MOA and dosages
complex drug that affects sodium, potassium, and calcium channels. It also has alpha adrenergic and
beta-adrenergic blocking properties.
Consider amiodarone 300 mg IV/IO push for the first dose. Consider giving a second dose of 150 mg IV/IO in 3 to 5 minutes
lidocaine MOA and dosages
Lidocaine is an alternative antiarrhythmic of long-standing and widespread familiarity. Give lidocaine in a dose of 1 to 1.5 mg per kilogram IV/IO.
magnesium sulfate MOA and dosages
IV magnesium may terminate or prevent recurrent torsades de pointes in patients who have a
prolonged QT interval during normal sinus rhythm.
Perhaps the most important thing about
Correction of an underlying cause.
Contributing factors for asystole or PEA.
Hypovolemia, hypoxia, hydrogen ion acidosis, hypo or hyperkalemia, hypoglycemia, hypothermia,
toxins, tamponade, tension pneumothorax, thrombosis, trauma
First step in treating PEA after identifying it
Administer vasopressors: epinephrine 1 mg IV or IO, repeat every 3 to 5 minutes or vasopressin 40 units IV or IO
For a slow key PEA rate, consider giving...
Atropine 1 mg IV or IO, repeat every 3 to 5 minutes, up to three doses
What are the two most common
and easily reversible causes PEA? How
does each manifest in terms of heart rate?
Hypovolemia which generally causes a rapid heart rate. Hypoxia which generally causes a slow heart rate.