Sharp ESOs
Study online at https://quizlet.com/_gcjffw
1. nurse documents life threatening condition
what during precipitating factors
eso's? specific ESO implemented
patient's response
when and which physician was notified
2. documentation interdisciplinary note
that needs to be provider communication note
completed? code blue record and critique form (if used)
RRT record
3. Quality CPR One cycle of CPR = 2 min of 100-120 chest compressions/min, O2 15L bag
mask (10 breaths/min), avoid hyperventilation, secure airway placement, check for
rhythm and pulse every 2 min
push 100-120/min
ensure full chest recoil
minimize interruptions to chest compressions
4. ROSC return of spontaneous circulation (pulse, BP, an increase in ETCO2 (>40)
5. Targeted temper- THERAPEUTIC HYPOTHERMIA should be considered when patient is not following
ature manage- commands or showing purposeful movement within 120 min after ROSC
ment (TTM)
6. General interven- 1. IV access (if no IV access, atropine, narcan and epi can be given via endotracheal
tions for all ESOs route at doses of 2-2 1/2 times the IV dose - dilute dose in 10 ml of NS and inject
directly in ETT)
2. NS to KVO
3. 20ml flush after each medication
7. Asystole
1/8
, Sharp ESOs
Study online at https://quizlet.com/_gcjffw
CPR
O2 10 breaths/min
EPINEPHRINE 0.1mg/ml (repeat every 3-5 min)
*DO NOT DEFIBRILLATE OR PACE
8. First degree AV constant, long PR interval (> 0.20 sec)
block
9. Second degree PR interval gets longer and longer then a p wave drops (p wave is not followed by
heart block, type I QRS)
(Wenckebach)
10. Second degree constant PR intervals and more than one non-conducted p wave
heart block, type
II
11. Third degree absence of conduction between the atria and ventricles, no consistent PR intervals
heart block
12. Treatment for 1. O2 10 L/min nonrebreather mask
UNSTABLE brady- (If transvenous or epicardial pacing wires present, connect to pulse generator and
cardia initiate pacing)
2. ATROPINE 1mg, repeat every 3-5 min up to a maximum of 3 mg
3. transcutaneous pacing ASAP
4. if ineffective, DOPAMINE 400mg/250ml D5W infuse at 5mcg/kg/min. Titrate up
2/8
Study online at https://quizlet.com/_gcjffw
1. nurse documents life threatening condition
what during precipitating factors
eso's? specific ESO implemented
patient's response
when and which physician was notified
2. documentation interdisciplinary note
that needs to be provider communication note
completed? code blue record and critique form (if used)
RRT record
3. Quality CPR One cycle of CPR = 2 min of 100-120 chest compressions/min, O2 15L bag
mask (10 breaths/min), avoid hyperventilation, secure airway placement, check for
rhythm and pulse every 2 min
push 100-120/min
ensure full chest recoil
minimize interruptions to chest compressions
4. ROSC return of spontaneous circulation (pulse, BP, an increase in ETCO2 (>40)
5. Targeted temper- THERAPEUTIC HYPOTHERMIA should be considered when patient is not following
ature manage- commands or showing purposeful movement within 120 min after ROSC
ment (TTM)
6. General interven- 1. IV access (if no IV access, atropine, narcan and epi can be given via endotracheal
tions for all ESOs route at doses of 2-2 1/2 times the IV dose - dilute dose in 10 ml of NS and inject
directly in ETT)
2. NS to KVO
3. 20ml flush after each medication
7. Asystole
1/8
, Sharp ESOs
Study online at https://quizlet.com/_gcjffw
CPR
O2 10 breaths/min
EPINEPHRINE 0.1mg/ml (repeat every 3-5 min)
*DO NOT DEFIBRILLATE OR PACE
8. First degree AV constant, long PR interval (> 0.20 sec)
block
9. Second degree PR interval gets longer and longer then a p wave drops (p wave is not followed by
heart block, type I QRS)
(Wenckebach)
10. Second degree constant PR intervals and more than one non-conducted p wave
heart block, type
II
11. Third degree absence of conduction between the atria and ventricles, no consistent PR intervals
heart block
12. Treatment for 1. O2 10 L/min nonrebreather mask
UNSTABLE brady- (If transvenous or epicardial pacing wires present, connect to pulse generator and
cardia initiate pacing)
2. ATROPINE 1mg, repeat every 3-5 min up to a maximum of 3 mg
3. transcutaneous pacing ASAP
4. if ineffective, DOPAMINE 400mg/250ml D5W infuse at 5mcg/kg/min. Titrate up
2/8
