Edition By Barbara Kuhn Timby; Nancy E. Smith
in cardiac arrest when do you first introduce medical intervention? which drug? -
ANSWER: after 2 rounds of CPR/shock
after 2nd shock give 1 mg epinephrine every 3-5 minutes
when do you introduce amiodarone during cardiac arrest? - ANSWER: after the 3rd
shock give 300 mg bolus of amiodarone
if second dose is needed give 150mg as second dose
what rhythms are shockable in cardiac arrest - ANSWER: VF
VT
what rhythms are not shockable in cardiac arrest - ANSWER: asystole
PEA
if you are in an unshockable rhythm arrest when do you give epi - ANSWER: 1mg epi
every 3-5 minutes after 1st round of CPR
what do you do after return of spontaneous circulation - ANSWER: maintain O2 sat
at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
what are the 5 h's and 5 t's - ANSWER: hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic bradycardia - ANSWER: monitor and observe
what constitutes symptomatic bradycardia - ANSWER: hypotension
altered mental status
signs of shock