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11 Cards in this Set
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- Back
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Ventricular Fibrillation (VFib) or Pulseless Ventricular Tachycardia (VTach)
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1. CPR immediately only until defibrillator is available
2. Defibrillate...continue CPR 2 minutes 3. Epinephrine....continue CPR 2 mins 4. Defibrillate....continue CPR 2 mins 5. Amiodarone...continue alternating defibrillation and epinephrine with continued CPR in between |
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Pulseless Electrical Activity:
any pulseless rhythm other than VFib/VTach and Asystole |
CPR and Epi while trying to identify and treat the cause (H's & T's). (Don't shock)
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Asystole
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CPR and Epi while trying to identify and treat the cause (H's & T's). (Don't shock)
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Reversible causes of PEA and Asystole (H's & T's)
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Hypovolemia
Hypoxia Hydrogen Ion (Acidosis) Hypo/Hyperkalemia Hypothermia Tension pneumo Tamponade, cardiac Toxins (like drug OD) Thrombosis, pulmonary or coronary |
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VTach with a pulse
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1 - Amiodarone
2 - Procainamide 3 - Synchronized Cardioversion |
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Sinus bradycardia or heart block, asymptomatic
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Monitor for development of symptoms (AMS, chest pain, low BP, dizziness)
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Rapid AFib/AFlutter
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If asymptomatic - we send them home on Cardizem, a beta-blocker, or digoxin for rate control and Coumadin for clot prevention. (teaching about coumadin - avoid leafy greens)
If symptomatic - synchronized cardioversion if drugs fail, but first perform a Transesophogeal echocardiogram (TEE) to look for clots. (You don't want to shock a clot up into their brain or lungs if one has developed) |
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Supraventricular Tachycardia (SVT)
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1 - Valsalva (bear down)
2 - Adenosine rapid IV push (stops and reboots heart) 3 - Try Adenosine again 4 - Synchronized cardioversion |
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Premature Ventricular Contractions (PVCs) - symptomatic
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Amiodarone or Procainamide IV
Look for cause to correct |
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First degree heart block
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Monitor pt for adequate CO
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Sinus bradycardia / 2nd Degree Block Types I and II / 3rd Degree Block - symptomatic
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1 - Atropine 0.5 mg IVP, repeating to a total dose of 3 mg
2 - Pace (2nd Degree Type II Block and 3rd degree blocks only) |
