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Aystole - Answer: O2 @ 15 (ambu)
Epi 1 mg (0.1 mg/ml) q3-5 mins
Unstable Bradycardia - Answer: O2 10 (NRBM)
Pace, if wires (transvenous/epicardial)
, Atropine 1mg q3-5 mins (max 3mg)
Transcutaneous pacing ASAP
If ineffective— dopamine 400mg/250 mL @ 5mcg/kg/min (max 20mcg/min)
RRT/ICU can start epi 4mg @ 2mcg/kg/min up to 10 mcg/min
Max atropine dose - Answer: 3 mg
H's - Answer: Hypovolemia, hypoxia, hypo/hyperkalemia, hypoglycemia, hypothermia
T's - Answer: Toxins, tamponade, thrombosis, trauma, tension pneumothorax
PEA - Answer: O2 @ 15 (ambu)
Epi 1mg (0.1mg/mL) q3-5
If hypovolemia— 250 NS bolus— repeat in 5min
STAT CXR
Stable VTACH - Answer: Call MD
O2 @ 4
12 Lead EKG
K/Mg
Unstable VTACH - Answer: O2 @ 10
If HR >150- synchronized cardioversion @ 200 J
Versed 0.5 mg prior— total of 1 mg to achieve sedation
Synchronized Cardiovert q1 min (max 3 attempts)