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Aystole - Answer: 1. CPR x 2 min (100-120 compressions/min)
2. O2 at 15L/min ambu bag (10 breaths/min)
3. Epi 1mg IVP (0.1 mg/1ml), repeat every 3-5 minutes
4. Continue with CPR and pulse checks every 2 minutes if no sign of
ROSC, consider possible causes
, Symptomatic bradycardia and heart blocks - Answer: 1. O2 at
minimum 10l/min NRBM
2. if transvenous or epicardial pacing wires present, connect to a
generator and start pacing
3. Atropine 1.0mg IVP q3-5 min (max of 3mg)
4. Transcutaneous pacing as soon as possible
5. If the above doesn't work and SBP <90 give Dopamine
400mg/250mL D5W with a rate of 5-20 mcg/kg/min (titrate until SBP
> 90 or MAP >60). If dopamine ineffective, only RRT or ICU nurse can
give Epi 2mg/250 ml NS at 2mcg/min (titrate up to 10 mcg/min)
If hypovolemia is known or suspected infuse 250 mL NS RAPID BOLUS
IV (may be substituted w LR if currently infusing)
PEA (pulseless electrical activity) causes - Answer: Hs and Ts
-hypovolemia
-hypoxia
-hydrogen ion (acidosis)
-hypo/hyperkalemia
-hypoglycemia
-hypothermia