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| {{familytree/start}} | | {| class="wikitable" |
| {{familytree | | | | | | A01 |-|-|-|-|-|-|-|-|-|-|.| | | | | | | | | | | | | | | |A01=<div style="float: left; text-align: left; line-height: 150%; height: 17em; width: 28em "> ❑ '''High Quality CPR'''<br> '''Compressions:'''
| | |
| : Push hard (>2 inches) & fast (>100/min)
| | |- |
| : Minimize interruptions; rotate compressor every 2 mins <br>
| | |
| '''Airway:''' Open airway <br>
| | ! Drug |
| '''Breathing:'''
| | |
| : Pressure ventilation; 2 breaths every 30 compressions
| | ! Route of administration |
| : Bagmask also acceptable
| | |
| ----
| | ! Dose titration |
| ❑ '''Attach monitor/defibrillator'''<br> ❑ '''Check rhythm'''
| | |
| </div>}}
| | ! Dose range |
| {{familytree | | | | | | |!| | | | | | | | | | | |!| | | | | | | | | | | | | | | | }}
| | |
| {{familytree | | | | | | |!| | | | | | | | | | | |!| | | | | | | | | | | | | | | | }}
| | ! Side effects |
| {{familytree |border=0 | | | | | | C01 | | | C03 | | | | | C02 | | | | | | | | | | | | | |C01= '''↓''' |C02= '''↑''' |C03= Continous CPR every 2 mins}}
| | |
| {{familytree |border=0 | | | | | | D01 | | | | | | | | | | D02 | | | | | | | | | | | | | |D01= '''↓''' |D02= '''↑''' }}
| | |- |
| {{familytree | | | | | | |!| | | | | | | | | | | |!| | | | | | | | | | | | | | | | }}
| | | Epoprostenol |
| {{familytree | | | | | | |!| | | | | | | | | | | |!| | | | | | | | | | | | | | | | }}
| | |
| {{familytree | | | | | | |!| | | | | E01 | | | | |!| | | | | | | | | | | | | | | |E01=<div style="float: left; text-align: left; line-height: 150%; width: 30em; height: 33em ">'''Drug Therapy''' <br> ❑ Establish IV/IO access (do not interrupt CPR) <br> ❑ Vasopressor:
| | | Intravenous infusion |
| :♦ '''[[Epinephrine]]''' '''1 mg IV q3-5 min''' (or 2 mg via ETT)
| | |
| :♦ '''[[Vasopressin]]''' '''40 U''' can replace 2nd or 3rd doses of epinephrine)
| | | 2 ng/kg/min every 10 to 15 min |
| ❑ Antiarrythmic:
| | |
| :♦ '''[[Amiodarone]]''' '''300 mg''' IV bolus + '''150 mg 3-5 min later'''
| | | 2 to 10 ng/kg/min |
| :♦ '''[[lidocaine]]''' '''1-1.5 mg/Kg IV, max 3mg/Kg'''
| | |
| ----
| | | Headache, nausea, lightheadedness |
| '''Consider advanced airway:'''<br> ❑ Endotracheal intubation or supraglottic advanced airway <br> ❑ Assess : Bilateral chest expansion & breath sounds <br> ❑ Check tube placement <br> ❑ 8-10 breaths per min with continous compressions
| | |
| ----
| | |- |
| '''Treat reversible causes:'''<br>
| | |
| ❑ [[Hypovolemia]]: Volume ❑ [[Tension Pneumothorax]]<br>
| | | Adenosine |
| ❑ [[Hypoxia]]: Oxygenate ❑ [[cardiac tamponade|Tamponade]]: Pericardiocentesis<br>
| | |
| ❑ H+ ions: NaHCo3 ❑ Toxins<br>
| | |
| ❑ Hypo/Hyper K: Replace ❑ Thromb. ([[Pulmonary embolism|PE]])<br>
| | | Intravenous infusion |
| ❑ [[Hypothermia]]: Warm ❑ Thromb. ([[Acute coronary syndrome|ACS]])
| | |
| </div>}}
| | |
| {{familytree | | | | | | |!| | | | | | | | | | | |!| | | | | | | | | | | | | | | | }}
| | | 50 mcg/kg/min every 2 min |
| {{familytree | | | | | | |!| | | | | | | | | | | |!| | | | | | | | | | | | | | | | }}
| | |
| {{familytree |border=0 | | | | | | F02 | | | F03 | | | | | F01 | | | | | | | | | | | | | | |F01= '''↑'''| F02= '''↓''' |F03= Continous CPR every 2 mins}}
| | |
| {{familytree |border=0 | | | | | | G02 | | | | | | | | | | G01 | | | | | | | | | | | | | | |G01= '''↑'''| G02= '''↓'''}}
| | | 50 to 250 mcg/kg/min |
| {{familytree | | | | | | |!| | | | | | | | | | | |!| | | | | | | | | | | | | | | | }}
| | |
| {{familytree | | | | | | |!| | | | | | | | | | | |!| | | | | | | | | | | | | | | | }}
| | |
| {{familytree | | | | | | K01 |-|-|-|-|-|-|-|-|-|-|'| | | | | | | | | | | | | | | |K01=<div style="float: left; text-align: left; line-height: 150% ">❑'''Shockable rhythm? ([[VF]]/[[Pulseless VT]])''' <br> Deliver shock (120-200 J biphasic; 360 J monophasic)
| | | Dyspnea, chest pain, AV block |
| ----
| | |
| ❑ '''Rhythm not shockable? ([[Asystole]]/[[PEA]])'''<br> Resume CPR
| | |
| ----
| | |- |
| ❑ On Return of spontaneous circulation (ROSC)
| | |
| :::::: ↓
| | | Nitric Oxide |
| :::: [[Post-arrest care]] </div>}}
| | |
| {{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }}
| | |
| {{familytree/end}}
| | | Inhaled |
| | |
| | |
| | | None |
| | |
| | |
| | | 10 to 80 ppm |
| | |
| | | Increased left heart filling pressure in susceptible patients |
| | |
| | |- |
| | |
| | |} |