Cardiac Arrest: Shockable - #MEDSHED
- Mark Nguyen, PharmD, BCEMP
- Sep 5, 2023
- 1 min read
Updated: Sep 15, 2023
CPR is the mainstay of therapy for both shockable and nonshockable rhythms. Ventricular fibrillation (VF) and pulseless ventricular tachycardia (pVT) are shockable rhythms.
đź’‰ Cardiac Arrest: Shockable đź“‹
CPR is the mainstay of therapy for both shockable and nonshockable rhythms. Ventricular fibrillation (VF) and pulseless ventricular tachycardia (pVT) are shockable rhythms.
Defibrillation is the definitive treatment. High-quality CPR throughout and assessing for pulse/shockable rhythm every 2 minutes maximizes our chances for a successful resuscitation and maintains organ perfusion.
Medications are only associated with improved rates of ROSC. Epinephrine 1 mg IV/IO every 3 to 5 minutes is given. Antiarryhtmics include amiodarone 300 mg, then 150 mg IV/IO OR lidocaine 1 - 1.5 mg/kg, then 0.5 - 0.75 mg/kg.
Refractory cases are associated with worse outcomes. Consider dual sequential external defibrillation (DSED) and/or esmolol if standard ACLS measures have been exhausted.
📢 Let me know your thoughts in the comments!
đź“‘ Make sure to give me a follow, join the broadcast channel, and check out my website! https://zurl.co/ewE0
Educational purposes only. No relationships to report. Not medical advice. Friendly advice to take the initiative in your learning.
🤖 I'd appreciate if you share the #MEDIGRAM and #PHARMFAX with a friend, become a member and follow my channels, or and as always, I hope you learn something new today.
đź“ Check out all links, bringing the pharmacotherapy to you. https://zurl.co/mfXO
@pharmwyze
@pharmwyzepharmfax
Comments