Adult Cardiac Arrest Algorithm Flashcards
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Questions and Answers

What is the first thing you do when your patient goes into cardiac arrest?

  • Attach monitor/defibrillator (correct)
  • Give oxygen (correct)
  • Start CPR (correct)
  • 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?

    <p>Consider advanced airway with capnography and reversible causes.</p> Signup and view all the answers

    What are the H's of the H's and T's?

    <p>Hypovolemia, Hypothermia, Hypokalemia/Hyperkalemia, Hypoxia, Hydrogen ions.</p> Signup and view all the answers

    What are the T's of the H's and T's?

    <p>Thrombosis pulmonary, Thrombosis coronary, Tamponade cardiac, Tension pneumothorax, Toxins.</p> Signup and view all the answers

    What do you do if the rhythm is a shockable rhythm?

    <p>Shock, shock, epinephrine, shock.</p> Signup and view all the answers

    What do you do following defibrillation?

    <p>CPR for 2 minutes, obtain IV/IO access, shock, and administer epinephrine as necessary.</p> Signup and view all the answers

    What is the dose for amiodarone?

    <p>Amiodarone 300, then 150.</p> Signup and view all the answers

    What is the alternative for amiodarone and what is the dose?

    <p>Lidocaine 1-1.5 mg per kg, then 0.5-0.75 mg per kg.</p> Signup and view all the answers

    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.

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