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Aystole - Answer: CPR (w/ pulse checks) in 2 min cycles
O2 @ 15L Ambu (10 breaths/min)
Epi 1 mg (0.1 mg/ml) IVP q3-5 mins
,Symptomatic Bradycardia - Answer: NRBM @ 10L min (titrate to pt's
response)
Pace, if wires (transvenous/epicardial)
Atropine 1mg q3-5 mins (max 3mg)
Transcutaneous pacing ASAP
DA 400mg/250 mL D5W @ 5mcg/kg/min (RRT/ICU titrate until aympto,
SBP >= 90 or MAP>=65; max 20mcg/min)
If ineffective, RRT/ICU can start epi 4mg/250ml NS @ 2mcg/min (max
10 mcg/min)
Symptomatic Heart Blocks - Answer: NRBM @ 10L min (titrate to pt's
response)
Pace, if wires (transvenous/epicardial)
Atropine 1mg q3-5 mins (max 3mg)
Transcutaneous pacing ASAP
If ineffective— dopamine 400mg/250 mL D5W @ 5mcg/kg/min
(RRT/ICU titrate until aympto, SBP 90+ or MAP 65+; max 20mcg/min)
If DA ineffective, RRT/ICU can start epi 4mg/250ml NS @ 2mcg/min
(max 10 mcg/min)
, PEA H's - Answer: Hypovolemia, hypoxia, hydrogen ions (acidosis),
hypo/hyperkalemia, hypoglycemia, hypothermia
PEA T's - Answer: Toxins, tamponade, thrombosis, trauma, tension
pneumothorax
PEA - Answer: CPR w pulse checks in 2 min cycles
O2 @ 15L Ambu bag (10 breaths/min)
Epi 1mg (0.1mg/mL) IVP q3-5 min
If hypovolemia— 250 NS/LR bolus q5 min (max x2)
STAT CXR
Stable VTACH - Answer: Call MD
O2 min @ 4; titrate to pt response
12 Lead EKG
K/Mg
Unstable VTACH - Answer: NRBM min 10L - titrate to pt response
If HR >150- synch. cardioversion @ 200 J
Versed 0.5 mg IVP prior (if awake) to sedate (max 1 mg)