Asystole Tx ✔️CPR
O2 at 15L/min via ambu bag 10 breaths/min
Epi 1mg IVP, repeat q5mins
Continue CPR with pulse checks q2mins
Unstable Bradycardia Tx ✔️O2 at min 10L/min via NRBM
Initiate pacing if transvenous or epicardial wires present
(If no response or none present)
Atropine 1mh IVP, repeat q3-5mins for max of 3mg
Transcutaneous pacing ASAP
If ineffective,
Dopamine 400mg/250ml D5W at 5mcg/kg/min, titrate for SPB >90 or MAP >65, max dose 20mcg/kg/min
Assess patient for adequate intravascular volume
If ineffective,
Epinephrine 2mg/250ml NS at 2mcg/min, max 10 mcg/min
PEA Tx ✔️CPR
Assess for H's & T's
O2 at 15L/min ambu bag 10bpm
Epi 1 mg IVP, repeat q3-5 min
Continue CPR
Pulse checks q2mins
for suspected hypovolemia, 250ml NS rapid bolus, repeat in 5 mins PRN
STAT CXR
Stable VTACH Tx ✔️*Pt is conscious with a SBP >90
Call physician for orders
O2 at min 4L/min
12 lead ECG
Serum K and Mag
Unstable VTACH Tx ✔️O2 at min 10L/min NRBM
For ventricular rate >150, synchronized cardioversion at 200j
- give Midazolam (Versed) 0.5ml IVP prior for awake pts, may repeat for 1mg total