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General Procedure for all Life-Threatening Patient Conditions- what
kind of access should a nurse obtain? - Answer: a. Obtain
IV/intraosseous (IO) access (large bore cannula in the antecubital vein
should be the first target for IV access if a central line is not present)
,General Procedure for all Life-Threatening Patient Conditions- what
kind of fluid should be started to KVO? - Answer: b. Begin IV infusion of
Normal Saline (NS) to keep vein open (KVO)
General Procedure for all Life-Threatening Patient Conditions- If IV
access is not available what medications can be given and how is it
administered? - Answer: c. If IV access is not available: Narcan,
Atropine, and Epinephrine may be administered via endotracheal route
at doses of 2 times the IV dose diluted in 10ml NS flush
General Procedure for all Life-Threatening Patient Conditions- what's
the process after giving each medication? - Answer: d. Flush IV line
with 20ml of NS after each IV medication given and elevate extremity if
applicable.
General Procedure for all Life-Threatening Patient Conditions- In
applicable situations, what should be readily available? - Answer: e.
Oxygen
What's the proper techniques using circulation, airway, and breathing?
- Answer: 1. Compressions should be performed at a rate of 100/min
for two minutes "push hard,push fast" allowing full chest recoil, and
minimize interruptions in chest compressions after each intervention.
, 2. All external electrical therapy will be cardioverted/defibrillated with
biphasic monitors using appropriate energy dose as designated by
condition.
True/False
In most cases, treatment (e.g. O2 administration) is administered
concurrently. - Answer: TRUE
True/False
Stickers with appropriate energy levels of cardioversion/defibrillation
should be placed on all defibrillators for quick reference. - Answer:
TRUE
ASYSTOLE - Answer: 1. CPR (2 min)
2. O2 at 15ml/min ambu bag (8-10 breaths/min)
3. Epinephrine (1:10,000) 1mg IVP/IO, repeat q3-5 min as long as
asystole persists.
BRADYCARDIA UNSTABLE (Heart Rate <60bpm) - Answer: 1. O2 at
minimum 10ml/mim NRBM
2. If transvenous leads or epicardial pacing wires present, connect to a
pulse generator and initiate pacing control.