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Asystole - Answer: 1. CPR (2 mins)
2. O2 at 15 L/min ambu bag
, 3. Epinephrine 1 mg IVP/IO (Use Epinephrine 0.1 mg/1ml) Repeat 3-5
mins
Bradycardia - Unstable - Answer: 1. O2 at minimum 10 L/min NRBM
2. If transvenous leads or epicardial pacing wires present, connect to a
pulse generator and initiate pacing per protocol.
3. Atropine 0.5 mg IVP/IO, repeat q3-5 minutes (max 3mg)
4. Transcutaneous pacing as soon as available.
5. If above algorithm is ineffective, start Dopamine 400 mg/250ml D5W
infusion at 5 mcg/kg/min. Titrate to patient response up to 20
mcg/kg/min.
6. If above algorithm is ineffective, start epinephrine 2 mg/250mL NS at
2 mcg/min, titrate to patient response up to 10 mcg/min.
(Note: Assess patient for adequate intravascular volume and volume
status when using vasoconstrictors)
Pulseless Electrical Activities (PEA) - Answer: 1. CPR (2 min) and assess
for possible causes*.
2. O2 at 15 L/min ambu bag
3. Epinephrine 1 mg IVP/IO (use 0.1mg/ml), repeat q 3-5 minutes.
4. If hypovolemia known or suspected, infuse 250 mL NS (may be
substitute with LR if currently infusing). Repeat in 5 minutes if no
clinical improvement.