ACLS Cardiac Arrest PEA and Asystole Algorithm Perform the initial assessment Perform high-quality CPR Establish an airway and provide oxygen to keep oxygen saturation > 94% Monitor the victim’s heart rhythm and blood pressure If the patient is in asystole or PEA, this is NOT a shockable rhythm
Which intervention is most appropriate for the treatment of a asystole?
Which intervention is most appropriate for the treatment of a patient in asystole? Epinephrine You arrive on the scene with the code team. High-quality CPR is in progress. An AED has previousy advised "no shock indicated."
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ACLS PreTest: Pharmacology and Practical Applicati… 32 terms slhance ACLS pretest 62 terms BRhodes7 Sets with similar terms ACLS PHARMACOLOGY 20 terms Mariah_Rokicsak ACLS 52 terms stevedbm acls 41 terms quinonesaaron ACLS 41 terms world-religionsPLUS Other sets by this creator Pharm1- Chapter 43 Antiviral drugs 42 terms joymaccracken
What is the first drug/dose to administer for asystole?
The rhythm is asystole. What is the first drug/dose to administer? Epinephrine 1mg IV/IO A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One does of epinephrine was given after the second shock. An antiarrhythmic drug was given immediately after the third shock.
Which intervention is most appropriate for patient in asystole?
Asystole is treated by cardiopulmonary resuscitation (CPR) combined with an intravenous vasopressor such as epinephrine (a.k.a. adrenaline).
What is the most appropriate action when you view a patient with ventricular fibrillation?
Call 911 or your local emergency number. If the person is unconscious, check for a pulse. If no pulse, begin CPR to help keep blood flowing through the body until an automated external defibrillator (AED) is available.
Which combination of medications would be appropriate to use for the patient in asystole?
The only two drugs recommended or acceptable by the American Heart Association (AHA) for adults in asystole are epinephrine and vasopressin.
In which situation does sinus bradycardia require treatment?
Patients with imminent heart failure or unstable patients with bradycardia need immediate treatment. The drug of choice is usually atropine 0.5–1.0 mg given intravenously at intervals of 3 to 5 minutes, up to a dose of 0.04 mg/kg. Other emergency drugs that may be given include adrenaline (epinephrine) and dopamine.
What is the treatment for asystole?
When treating asystole, epinephrine can be given as soon as possible but its administration should not delay initiation or continuation of CPR. After the initial dose, epinephrine is given every 3-5 minutes. Rhythm checks should be performed after 2 minutes (5 cycles) of CPR.
What is asystole?
Asystole, colloquially referred to as flatline, represents the cessation of electrical and mechanical activity of the heart. Asystole typically occurs as a deterioration of the initial non-perfusing ventricular rhythms: ventricular fibrillation (V-fib) or pulseless ventricular tachycardia (V-tach).
Why defibrillation is not recommended in asystole?
The Advanced Life Support guidelines do not recommend defibrillation in asystole. They consider shocks to confer no benefit, and go further claiming that they can cause cardiac damage; something not really founder in the evidence.
Is vasopressin given for asystole?
In addition, both vasopressin and epinephrine were included among prompt resuscitative measures recommended for the treatment of ventricular asystole.
Do you give adrenaline in asystole?
If asystole or PEA is identified give adrenaline (epinephrine) 10 micrograms per kilogram intravenously or intraosseously. Adrenaline (epinephrine) is the first line drug for asystole.
What is the best treatment for low heart rate?
Bradycardia treatment may include lifestyle changes, medication changes or an implanted device called a pacemaker. If an underlying health problem, such as thyroid disease or sleep apnea, is causing the slow heart rate, treatment of that condition might correct bradycardia.
What is the best treatment for bradycardia?
The standard treatment for a slow heart rate is to implant a pacemaker. For people with bradycardia, this small device can help restore a normal heartbeat.
How is emergency bradycardia treated?
Supply oxygen and perform aggressive airway and breathing management to patients in whom bradycardia is the suspected result of hypoxia. The mainstays of medical treatment are atropine, dopamine, and epinephrine. Atropine is the first-line therapy for unstable bradycardia.
How long to hold aspirin for a CT scan?
Give aspirin 160 mg and clopidogrel 75 mg orally. Give heparin if the CT scan is negative for hemorrhage. Hold aspirin for at least 24 hours if rtPA is administered. Hold aspirin for at least 24 hours if rtPA is administered.
Does the left arm have vascular access?
There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction. The heart rate has not responded to vagal maneuvers.