Front | Back |
Pulseless V-Fib/V-Tach
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Assess ABCs
Open Airway - Give 2 breaths and O2
CPR
Attach Monitor
STOP CPR, CLEAR AND DEFIB 200J (360mono)
CPR - 2mins
Start IV - give EPI 1mg or Vasopressin 40u
ASSESS RHYTHM
STOP CPR, CLEAR AND DEFIB 200J (360mono)
RESUME CPR
Lidocaine 1-1.5mg/kg (r .5-.75 up to 3mg q5-10)
ASSESS RHYTHM
Repeat
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ASYSTOLE/PEA
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Assess ABCs
Open Airway and 2 breaths
CPR 30:2
Monitor and Assess rhythm
resume CPR and Start IV
EPI 1mg or vasopressin 40u
Atropine 1mg
ASSESS RHYTHM
RESUME CPR or go to respective algorhythm
EPI 1mg
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SYMPTOMATIC BRADYCARDIA (narrow)
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ABCs
IV, O2, Monitor
Atropine .5mg (rpt q 3-5 max 3mg
Transcutaneous pacing
Dopamine (2-10mcg/kg/min)
or
Epi (2-10mcg/min)
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SYMPTOMATIC BRADYCARDIA (wide)
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ABCs
IV, O2, Monitor
Transcutaneous Pacing
Dopamine (2-10mcg/kg/min)
or
Epi (2-10mcg/min)
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NARROW QRS TACHYCARDIA (stable)
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ABCs
IV, O2, Monitor, 12 Lead EKG
Vagal Maneuvers
Adenosine 6-12-12
if no conversion verapamil or cardizem
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NARROW QRS TACHYCARDIA (UNSTABLE)
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ABCs
IV, O2, Monitor, 12 Lead EKG
consider Adenosine (dont delay cardiovert)
Cardioversion 50-100-200-300-360
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WIDE QRS TACHYCARDIA (STABLE)
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ABCs
IV, O2, Monitor, 12 lead EKG
If possible SVT with Aberancy give Adenosine
if Monomorphic VT of unknown origin - give amiodarone 150mg over 10min
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WIDE QRS TACHYCARDIA (UNSTABLE)
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ABCs
IV, O2, Monitor, 12 Lead EKG
Immediate Cardioversion 100-200-300-360
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IRREGULAR TACHYCARDIA (stable)
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ABCs
IV, O2, Monitor, 12 Lead EKG
CN to receiving facility and transport
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IRREGULAR TACHYCARDIA (unstable)
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ABCs
IV,O2, Monitor, 12 Lead EKG
cardioversion
A-Flutter - 50-100-200-300-360
A-Fib - 100-200-300-360
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