Questions and Answers
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?
Obtain IV, IO access and give epinephrine ASAP.
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?
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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?
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What do you do if the rhythm is a shockable rhythm?
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What do you do following defibrillation?
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What is the dose for amiodarone?
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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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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.
