AHA ACLS Study Material with Detailed Solutions
When Can I Stop CPR?
Patient AWAKE
CO2 jumps up to 35-45 mmHg
DO NOT STOP WITH RHYTHM CHANGE, FINISH OUT CYCLE
Asystole/PEA
epi
CPR x2 min
reassess rhythm
if no change epi/CPR x 2 min
if vtach/VF, shock
What is best CPR strategy with advanced airway in place?
Continuous compressions without pauses, 10 ventilations/min
etCO2 goals CPR
10-20 mmHg
25 at hopkins
First degree heart block
long PR interval >.20
Second Degree Heart Block (Mobitz II)
, some Ps do not get through
PR interval same length
Second degree heart block Wenckebach
longer longer longer drop
PR interval gets longer then drops a QRS
Third Degree Heart Block (Complete Heart Block)
irregular rhythm
Ps and Qs do not agree
Supraventricular Tachycardia (SVT)
includes afib and aflutter
tachy that is not v tach or vfib
vagal
adenosine
beta blocker
if unstable get the cable
Stable Tachycardia without wide QRS
vagal maneuver
adenosine (6 mg rapid IVP with flush) then again (12 mg)
When Can I Stop CPR?
Patient AWAKE
CO2 jumps up to 35-45 mmHg
DO NOT STOP WITH RHYTHM CHANGE, FINISH OUT CYCLE
Asystole/PEA
epi
CPR x2 min
reassess rhythm
if no change epi/CPR x 2 min
if vtach/VF, shock
What is best CPR strategy with advanced airway in place?
Continuous compressions without pauses, 10 ventilations/min
etCO2 goals CPR
10-20 mmHg
25 at hopkins
First degree heart block
long PR interval >.20
Second Degree Heart Block (Mobitz II)
, some Ps do not get through
PR interval same length
Second degree heart block Wenckebach
longer longer longer drop
PR interval gets longer then drops a QRS
Third Degree Heart Block (Complete Heart Block)
irregular rhythm
Ps and Qs do not agree
Supraventricular Tachycardia (SVT)
includes afib and aflutter
tachy that is not v tach or vfib
vagal
adenosine
beta blocker
if unstable get the cable
Stable Tachycardia without wide QRS
vagal maneuver
adenosine (6 mg rapid IVP with flush) then again (12 mg)