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Questions and Answers
What is the first thing you do when your patient goes into cardiac arrest?
What is the first thing you do when your patient goes into cardiac arrest?
What do you do if the rhythm is a non-shockable rhythm?
What do you do if the rhythm is a non-shockable rhythm?
Obtain IV, IO access and give epinephrine ASAP.
What is the epinephrine dose?
What is the epinephrine dose?
1 mg every 3-5 minutes.
What do you do next after giving the first dose of epinephrine in a non-shockable rhythm?
What do you do next after giving the first dose of epinephrine in a non-shockable rhythm?
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What are the H's of the H's and T's?
What are the H's of the H's and T's?
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What are the T's of the H's and T's?
What are the T's of the H's and T's?
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What do you do if the rhythm is a shockable rhythm?
What do you do if the rhythm is a shockable rhythm?
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What do you do following defibrillation?
What do you do following defibrillation?
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What is the dose for amiodarone?
What is the dose for amiodarone?
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What is the alternative for amiodarone and what is the dose?
What is the alternative for amiodarone and what is the dose?
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Study Notes
Adult Cardiac Arrest Algorithm Overview
- Immediate response to cardiac arrest requires starting CPR, administering oxygen, and attaching a monitor/defibrillator.
Non-Shockable Rhythm Response
- If a non-shockable rhythm is identified, establish IV or IO access and administer epinephrine as soon as possible.
Epinephrine Administration
- The recommended epinephrine dose during cardiac arrest is 1 mg every 3-5 minutes.
Post-Epinephrine Actions
- Following administration of epinephrine in a non-shockable rhythm, consider advanced airway management and evaluate for reversible causes.
H's of H's and T's
- The mnemonic for the H's includes:
- Hypovolemia
- Hypothermia
- Hypokalemia/Hyperkalemia
- Hypoxia
- Hydrogen ions
T's of H's and T's
- The mnemonic for the T's includes:
- Thromboembolism (pulmonary and coronary)
- Cardiac Tamponade
- Tension Pneumothorax
- Toxins
Shockable Rhythm Protocol
- In the event of a shockable rhythm, the sequence is to administer a shock followed by epinephrine and deliver further shocks if necessary. Use appropriate energy levels for defibrillation: 120-200 J for biphasic and 360 J for monophasic shocks.
Post-Defibrillation Procedures
- After defibrillation, the steps include:
- Perform CPR for 2 minutes.
- Establish IV/IO access if not already done.
- Administer epinephrine (1 mg every 3-5 minutes), consider advanced airway, and evaluate for capnography.
- If needed, re-shock after 2 minutes of CPR.
- Include antiarrhythmic treatment.
- Address any reversible causes.
Amiodarone Dosage
- The initial dose of amiodarone is 300 mg, followed by a second dose of 150 mg if needed.
Alternative to Amiodarone
- Lidocaine can be used as an alternative, with initial dosages of 1-1.5 mg/kg, followed by 0.5-0.75 mg/kg as needed.
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Description
Test your knowledge on the Adult Cardiac Arrest Algorithm with these informative flashcards. Each card covers crucial steps to take during a cardiac arrest scenario, ensuring that you are prepared for real-life emergencies. Perfect for healthcare professionals and students alike.
