What is the drug of choice for any pulseless patient?
In cases of shock-resistant pulseless VT, the use of antiarrhythmic medications may be considered. IV amiodarone is the drug of choice.
Do you give amiodarone for pea?
The dose of amiodarone for VF/pulseless VT is 5 mg/kg via rapid i.v. bolus. There may be circumstances where the routine use of amiodarone should be omitted. This includes VF/pulseless VT caused by an overdose of an arrhythmogenic drug. Expert advice should be obtained from a Poisons Centre.
What medication is given during CPR?
Adrenaline remains the drug of choice during cardiac resuscitation and other drugs such as atropine, sodium bicarbonate, calcium, magnesium and fibrinolytic drugs may be considered only in specific circumstances.
Can you defibrillate PEA?
Rhythms that are not amenable to shock include pulseless electrical activity (PEA) and asystole. In these cases, identifying primary causation, performing good CPR, and administering epinephrine are the only tools you have to resuscitate the patient.
Why do you not shock PEA?
Pulseless electrical activity (PEA) refers to cardiac arrest in which the electrocardiogram shows a heart rhythm that should produce a pulse, but does not. Pulseless electrical activity is found initially in about 55% of people in cardiac arrest….
| Pulseless electrical activity | |
|---|---|
| Specialty | Cardiology |
What’s the difference between pulseless and pulseless arrest?
What is Pulseless Arrest. Ventricular fibrillation (v-fib) and pulseless ventricular tachycardia (v-tach or VT) are lethal dysrhythmias that do not produce a pulse. Ventricular fibrillation is the most common initial dysrhythmia in cardiac arrest and will regress to asystole if not treated right away.
How is VF and pulseless VT treated in cardiac arrest?
VF and Pulseless VT. VF and pulseless VT are shockable rhythms and treated in similar fashion. Asystole and PEA are also included in the cardiac arrest algorithm but are non-shockable rhythms. Ventricular fibrillation and pulseless ventricular tachycardia are treated using the left branch of the cardiac arrest arrest algorithm.
When to give a second pulseless arrest shock?
After the initial shock, an IV or IO needs to be established to give medications. The first medication to give is epinephrine, 1 mg 1:10,000 IV or IO push every 3-5 minutes After the initial dose of epinephrine, a second shock should be given Placing an advanced airway with capnography should be considered.
How often should you give an IV for pulseless arrest?
After the initial shock an IV or IO needs to be established in order to give medications. The first medication would be epinephrine, 1 mg 1:10,000 IV or IO push every 3-5 minutes. After the initial dose of epinephrine and a second shock is given, you should consider placing an advanced airway with capnography.
