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- Adenosine: all stable, fast rhythm, 6mg with 20 CC NS after, raise arm, can do again with 12mg
- Atropine (block vagal nerve): stable, slow rhythm, 0.5-1mg IVP, 3mg max
- Amiodarone: stable ventricular problems: V-fib, V-tach, 150mg for stable pat, 300mg for unresponsive , no pulse pt
- Aspirin: for chest pain, 325mg, or 4xASA 81mg, chew, ask pt if have allergy before giving
- Diltiazem: second line for SVT, 0.25mg/kg IV X 1
- Dopamine: check fluid 1st, increase Bp and contractility, 5mg/kg/min
- Epinephrine (1:10): increase peripheral constriction, increase sensitivity for shock, also for bradycardia, 1st given after 1st cycle of CPR, , 1mg q3-5 min
- Lidocaine: V-fib, V-tach, 1mg/kg (one box)
- Magnesium: Torsads, v-fib, low Mag serum level,
- Morphine: Chest pain
- Naloxone (Narcan): reverse narcotic overdose, 2mg once IV
- Nitroglycerine: chest pain, rule out right heart infarction, EKG first, no ED (Like Viagra) drugs for the past 2-3 days, BP at least 90mmHg, 0.4mg x3 q 3min
- Sodium Bicarb, acidosis, can use hyperventilation, 1meq/kg
- Versed (Midazolam): premed for electrotherapy
- NS: 20cc/kg bolus, 1-2 L for Hypotension
Defibrillation: Defibrillator for the dead (200J)
Cardioversion for fast heart rate (100, 200, 360J)
Pacing for the slow heart rate
Captography (35-45): used to- ET tube in the right spot or not;
- >0, 10: good CPR;
- Sudden >35, ROSC (return of spontaneous contraction, also Bp>90, O2 > 92 )
H's & T's
- Hypovolemia-NS
- Hypoglycemia-D50
- Hypoxia-oxygen
- Hypothermia
- Hypo/hyperkalemia
- Hypo-Magnesium
- Tension Pneumothorax
- Tamponade
- Toxins
- Thrombosis: Heart and lung
While doing CPR: O2, NS, Epi, D50, Narcan, Mg, Bicarb etc.
Stroke: Acu check plus EKG, no need BP lower meds
以上仅供本人参考
