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1. Inject 1 mg of epinephrine into a liter bag of normal saline. to mix well.
2. Push dose: Fill 20 cc syringe with diluted (1 mcg/ml) epinephrine from your one-liter bag.
*which will deliver a bolus of 20 mcg epinephrine.
Refill your 20 ml syringe and repeat as needed.
3. epinephrine to an infusion pump and set the rate.
60 ml/hour =1 mcg/min infusion
240 ml/hour to = 4 mcg/min infusion
600 ml/hour = 10 mcg/min infusion
Transcutaneous pacing
Causes of failure to capture? (8)
1. Electrode placement- Reposition
2. Wrong electrode placement - negative lead goes anteriorly
3. Faulty electrical wires- check connection
4. Battery charged?
5. Poor skin contact- clean and dry skin
6. Increased intrathoracic air- COOD/PTX/NIPPV
7. Pericardial effusion- pericardiocentesis
8. MI/Metabolic cause- correct cause
A
Symptom bradycardia do 2 simultaneous steps:
1. Electric -(2) ?
2. Medical - (6) ?
1. Electrical = TCP/trans venous
2. Medical: Atropine-> Epi bolus (~20-50 mcg)/ (2-10mcg/min drip) -> IV Calcium -> Intralipid/glucagon/isoproterenol.
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