V Fib Treatment Pals
5 mg kg bolus max dose.
V fib treatment pals. Pulseless vt v fib. Rapid infusion causes hypotension. Administer high quality cpr for 2 minutes. The treatment of such an arrhythmia is included in the acls pulseless arrest algorithm.
Acls cardiac arrest vtach and vfib algorithm. 300 mg vt svt. Vf and pulseless vt are shockable rhythms and treated in similar fashion. Deliver rescue breaths d.
The treatment of vf and pulseless vt ventricular fibrillation and pulseless ventricular tachycardia is included in the cardiac arrest algorithm. Defibrillation is the treatment of choice and should occur as soon as possible. Ventricular fibrillation v fib recurrent hemodynamically unstable ventricular tachycardia hypertrophic cardiomyopathy supraventricular tachyarrhythmias svt dose. You are at the gym and witness a 16 year old on the treadmill slump to the ground.
Administer shock at 4 joules kg. Shock performed at peak of r wave. If the patient is in vtach or vfib this is a shockable rhythm. Used if drug therapy and vagal maneuvers fail.
If not shockable move to asystole pea rhythm protocol. Monitor the victim s heart rhythm and blood pressure. Apply an aed c. You rush to assess the person and find them to be pulseless and not breathing.
Defibrillation and the shock. 5 mg kg over 20 60 minutes max dose. It is an antiarrhythmic medication used to treat various forms of supraventricular tachycardia after vegal maneuvers have failed. Used when patient has a pulse.
5 in vf the etiology of arrest is often attributed to either acute ischemia or non ischemic arrhythmia. The delivery of adenosine in acls and pals causes a transient heart block in the atrioventricular av node. Ventricular fibrillation treatment and causes ventricular fibrillation vf or v fib is the most common initial heart rhythm in patients with out of hospital cardiac arrest ohca and the most salvageable one. Ventricular fibrillation is always pulseless and must be confirmed by ekg or defibrillator monitor.
Call for help initiate cpr b. The video below shows an example of what ventricular fibrillation will look like when you see it on the defibrillator monitor. Perform the initial assessment. Used to treat atrial fibrillation atrial flutter atrial tach and symptomatic vt.
Establish an airway and provide oxygen to keep oxygen saturation 94. Rhythm is shockable ventricular fibrillation or unstable ventricular tachycardia 1. Ventricular fibrillation is a shockable rhythms and is treated in a similarly to ventricular tachycardia vt. Administer shock at 2 joules kg.
What is your initial step in management. The pulseless arrest algorithm has been established as the best practice in treating ventricular fibrillation.