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26 Cards in this Set
- Front
- Back
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4 rhythms which constitute cardiac arrest
of these, ___ are shockable |
VF
pulseless VT PEA asystole VF pulseless VT |
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given a suspected cardiac arrest, preliminary step in algorithm is ___
if ___, proceed to 0th step |
check circulation
no pulse |
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0th step in cardiac arrest algorithm (2)
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call for help
activate emergency response |
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1st step in cardiac arrest algorithm
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begin CPR
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3 required parts of initial CPR for cardiac arrest
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chest compression
O2 attach monitor/defib |
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once CPR is started, main question is ___
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is rhythm shockable?
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if rhythm is shockable, first shock should be ___ for biphasic,
___ for monophasic |
200J (or lower manufacturer recommendation, if known)
360J |
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immediately after shocking, do ___ and at the same time ___
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2 minutes of CPR
establish IV/IO access |
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after 2 minutes of post-shock CPR, do ___
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2nd rhythm check
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if after 2 minutes of post-shock CPR the rhythm is shockable, do ___
otherwise do ___ |
shock
resume CPR with pressors and airway interventions |
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CPR with pressors and airway intervention means (3)
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Epi 1 mg every 3-5 minutes
consider advanced airway consider caponography |
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___ is a special kind of non-shockable rhythm
if this is observed at the rhythm check, do ___ |
organized (regular, narrow complexes)
pulse check |
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organized rhythm with palpable pulse after cardiac arrest is called ___
if this occurs, do ___ |
ROSC
proceed to post-arrest care |
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when doing CPR with drugs, ___ may be replaced by ___
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one of the Epi doses
vasopressin 40U |
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if a 2nd shock was delivered it is followed by ___
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CPR with pressors and airway interventions
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after 2 minutes of CPR with pressors and airway interventions do ___
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rhythm check
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if a shock is administered after CPR with pressors and airway interventions, follow with ___
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CPR with antiarrhythmics
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CPR with antiarrhythmics means
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CPR + amiodarone 300 mg
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initial amiodarone bolus may be followed by ___ after ___
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amiodarone 150 mg
3-5 mins |
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if amiodarone is not available, use ___
followed by ___ |
lidocaine 1-1.5 mg/kg
lidocaine 0.5-0.75 mg/kg |
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maximum lidocaine total is ___
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3 mg/kg
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if after a rhythm check rhythm is non-shockable, do ___
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CPR + pressors + airway interventions
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after 2 rhythm checks without shockable rhythm do ___
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CPR + treat reversible causes
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10 reversible causes of cardiac arrest
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hypovolemia
hypoxia H+ hyper/hypokalemia hypothermia tension PTX tamponade toxins thrombosis (PE or coronary) |
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___ is particularly important for PEA
give ___ to start |
IVF
500 ml |
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if rhythm is found to be asystole, you need to know ___
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if he/she is DNAR
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