ACLS

first part of ACLS algorithm

start CPR

give o2

monitor/defibrilate

rhythm shockable?

if you have a shockable rhythm:

shock ——> cpr 2 min adn IV/IO access ——> cpr 2 min, epi 1:10,000 3-5 min, adv. airway——> cpr 2 min amiodorane or lidocaine, Hs and Ts

if you have a nonshockable rhythm:

epi asap—→ cpr 2 min, iv/io access, adv airway, etco2 ——> cpr 2 min, Hs and Ts

what are the 4 rhythms of cardiac arrest?

PVT, VF, PEA, asytole

how many compressions a minute?

100-120

how long should interruptions to cpr be?

less than 10 sec

adult pt cpr depth

2 inch deep minimum

once an advanced airway is in place what changes?

dont have to stop compressions

BLS is 30;2

how often is epi administered?

every 3-5 min via IV/IO

Amiodarone protocol

for PVT and VF

IV/IO

1st dose: 300 mg, 2nd dose: 150 mg

Lidocaine protocol

IV/IO

PVT and VF

1st dose: 1-1.5 mg/kg, 2nd dose: 0.5-0.75 mg/kg

Hs of cardiac arrest

hypovolemia

hypoxia

hydrogenian acidosis

hypothermia

hypo/hyperkalemia

Ts of cardiac arrest

toxins

tension pneumothorax

cardiac tamponade

thrombosis (pulmonary embolism or MI)

hypovolemia rx

fluids or blood

hydorgenion acidosis rx

sodium bicarbonate

hypo and hyperkalemia rx

potassium= hypo

calcium= hyper

tension pneumothorax rx

needle decompression

cardiac tamponade rx

pericardial synthesis

pulmonary embolism rx

heparin

once ROSC is achieved what should be done?

an ekg to check for an MI