What medications are safe to deliver by endotracheal means if access to an IV is
not available? ANSWER Epinephrine, Atropine, and Narcan
How much of Narcan, Atropine, and Epinephrine can be given via an ET tube?
ANSWER 10 mL of NS flush diluted with 2-2 1/2 times the IV dose
Tx: ANSWER CPR for two minutes in asystole.
15L of O2 via Bambu bag, 1 mg of IVP repeated every 3–5 minutes
Treatment for bradycardia: ANSWER O2 at least 10L/min nonrebreather mask,
0.5 mg IVP/IO, repeat every 3–5 minutes (maximum 3 mg), and transcutaneous
pacing as soon as it becomes available
ANSWER: Dopamine for Bradycardia Dopamine 400 mg/250 mK D5W should
be started at 5 mcg/kg/min and titrated up to 20 mcg/kg/min if atropine is
unsuccessful.
Start an adrenaline drip with 2 mg/250 mL NS at 2 mcg/min and titrate up to 10
mcg/min if dopamine is unsuccessful.
Electrical Activity Without Pulses - ANSWER Asystole treatment includes
CPR for two minutes, oxygen via ambubag at fifteen, 1 mg IVP every three to
five minutes, Stat CXR, and 250 mL NS if hypovolemia is indicated.
ANSWER: Stable V Tach Orders from the doctor, O2 at 4L/min NC, 12-lead
EKG, and serum K and Mg draw
Unstable V Tach-ANSWER O2 has a minimum NRBM of 10 L/min. Biphasic
synchronised cardio version if ventricular rate is more than 150.
Give Versed 0.5 mg IVP before the cardiac version up to a total of 1 mg to
induce drowsiness if the patient is awake and responsive.
Romazicon is Versed's reversal agent. Push 0.2 mg IVP
not available? ANSWER Epinephrine, Atropine, and Narcan
How much of Narcan, Atropine, and Epinephrine can be given via an ET tube?
ANSWER 10 mL of NS flush diluted with 2-2 1/2 times the IV dose
Tx: ANSWER CPR for two minutes in asystole.
15L of O2 via Bambu bag, 1 mg of IVP repeated every 3–5 minutes
Treatment for bradycardia: ANSWER O2 at least 10L/min nonrebreather mask,
0.5 mg IVP/IO, repeat every 3–5 minutes (maximum 3 mg), and transcutaneous
pacing as soon as it becomes available
ANSWER: Dopamine for Bradycardia Dopamine 400 mg/250 mK D5W should
be started at 5 mcg/kg/min and titrated up to 20 mcg/kg/min if atropine is
unsuccessful.
Start an adrenaline drip with 2 mg/250 mL NS at 2 mcg/min and titrate up to 10
mcg/min if dopamine is unsuccessful.
Electrical Activity Without Pulses - ANSWER Asystole treatment includes
CPR for two minutes, oxygen via ambubag at fifteen, 1 mg IVP every three to
five minutes, Stat CXR, and 250 mL NS if hypovolemia is indicated.
ANSWER: Stable V Tach Orders from the doctor, O2 at 4L/min NC, 12-lead
EKG, and serum K and Mg draw
Unstable V Tach-ANSWER O2 has a minimum NRBM of 10 L/min. Biphasic
synchronised cardio version if ventricular rate is more than 150.
Give Versed 0.5 mg IVP before the cardiac version up to a total of 1 mg to
induce drowsiness if the patient is awake and responsive.
Romazicon is Versed's reversal agent. Push 0.2 mg IVP
