100% de satisfacción garantizada Inmediatamente disponible después del pago Tanto en línea como en PDF No estas atado a nada
logo-home
Sharp Memorial ESO Exam 2024 10,08 €   Añadir al carrito

Examen

Sharp Memorial ESO Exam 2024

 14 vistas  0 veces vendidas
  • Grado
  • Institución

Sharp Memorial ESO Exam 2024 Asystole 1. CPR (2 mins) 2. O2 at 15 L/min ambu bag 3. Epinephrine 1 mg IVP/IO (Use Epinephrine 0.1 mg/1ml) Repeat 3-5 mins Bradycardia - Unstable 1. O2 at minimum 10 L/min NRBM 2. If transvenous leads or epicardial pacing wires present, connect to a pulse ge...

[Mostrar más]

Vista previa 2 fuera de 5  páginas

  • 28 de junio de 2024
  • 5
  • 2023/2024
  • Examen
  • Preguntas y respuestas
avatar-seller
Sharp Memorial ESO Exam 2024
Asystole
1. CPR (2 mins)
2. O2 at 15 L/min ambu bag
3. Epinephrine 1 mg IVP/IO (Use Epinephrine 0.1 mg/1ml) Repeat 3-5 mins


Bradycardia - Unstable
1. O2 at minimum 10 L/min NRBM
2. If transvenous leads or epicardial pacing wires present, connect to a pulse generator and initiate
pacing per protocol.
3. Atropine 0.5 mg IVP/IO, repeat q3-5 minutes (max 3mg)
4. Transcutaneous pacing as soon as available.
5. If above algorithm is ineffective, start Dopamine 400 mg/250ml D5W infusion at 5 mcg/kg/min.
Titrate to patient response up to 20 mcg/kg/min.
6. If above algorithm is ineffective, start epinephrine 2 mg/250mL NS at 2 mcg/min, titrate to patient
response up to 10 mcg/min.
(Note: Assess patient for adequate intravascular volume and volume status when using
vasoconstrictors)


Pulseless Electrical Activities (PEA)
1. CPR (2 min) and assess for possible causes*.
2. O2 at 15 L/min ambu bag
3. Epinephrine 1 mg IVP/IO (use 0.1mg/ml), repeat q 3-5 minutes.
4. If hypovolemia known or suspected, infuse 250 mL NS (may be substitute with LR if currently
infusing). Repeat in 5 minutes if no clinical improvement.
5. Stat CXR.


Possible Cause of PEA
1. Hypovolemia
2. Hypoxia
3. Hydrogen ion (Acid)
4. Hypo/Hyperkalemia
5. Hypoglycemia
6. Hypothermia
7. Tamponade
8. Toxins
9. Thrombosis
10. Trauma
11. Tension Pneumothorax


Ventricular Tachycardia: Stable
1. Call the physician for orders
2. O2 at minimum 4L/min NC and adjust per patient status
3. Obtain 12 lead EKG
4. Draw serum K and Mag
** Administer Amio 150mg SLOW PIVvover 10 mins.
**Consider Adenosine (only if regular and monomorphic)


Ventricular Tachycardia: Unstabel
1. O2 at minimum 10 L/min NRBM

, 2. If ventricular rate greater than 150, Biphasic, synchronized cardioversion per approved energy dose
listed on defibrillator.
3. If patient is awake and responsive, give midazolam (Versed) 0.5 mg IVP/IO prior to cardioversion.
May report to a total of 1mg to achieve sedation.
4. Draw serum K and Mag


Reverse agent for Midazolam
Romazicon. If patient has signs and symptoms of oversedation (e.g. decreased level of consciousness,
respiratory rate less than 10 breaths/ min), Romazicon 0.2 mg IVP/IO, over 15 second. May repeat in
45 seconds based on patient's response, not to exceed 0.6 mg


Unstable signs
1. Hypotension
2. Tachycardia
3. Bradycardia
4. Arrhythmia
5. Tachypnea
6. Respiratory Depression
7. Apnea
8. Dyspnea
9. Decreased O2 sat
10. Change in level of consciousness
11. Increased intracranial pressure
12. Status Epilepticus


Unstable symptoms
1. Dizziness
2. Lightheadedness
3. Short of breath
4. Chest pain
5. Weakness
6. Cold
7. Diaphoretic
8. Heart palpitation
9. Anxious


Ventricular Fibrillation/Pulseless Ventricular Tachycardia
***No Stacked Shocks
***Provide continuous CPR unless defibrillating. Give medications during CPR.
***Immediate defibrillation if witnessed arrest and defibrillator is available.
1. CPR (2mins) or until defibrillator is available.
2. O2 at 15 L/min ambu bag
3. Defibrillate: Biphasic, joules per approved energy dose.
4. Epinephrine 1 mg IVP/IO (use epinephrine 0.2mg/ml)
5. Defibrillate
6. Amiodarone 300 mg IVP/IO
7. Defibrillate
8. Epinephrine 1 mg IVP/IO (use epinephrine 0.1 mg/ml)
9. Defibrillate
10. Amiodarone 150 mg IVP/IO
11. If rhythm persists, defibrillate, CPR, epinephrine 1 mg IVP/IO (use epinephrine 0.1mg/ml) q 3-5
mins

Los beneficios de comprar resúmenes en Stuvia estan en línea:

Garantiza la calidad de los comentarios

Garantiza la calidad de los comentarios

Compradores de Stuvia evaluaron más de 700.000 resúmenes. Así estas seguro que compras los mejores documentos!

Compra fácil y rápido

Compra fácil y rápido

Puedes pagar rápidamente y en una vez con iDeal, tarjeta de crédito o con tu crédito de Stuvia. Sin tener que hacerte miembro.

Enfócate en lo más importante

Enfócate en lo más importante

Tus compañeros escriben los resúmenes. Por eso tienes la seguridad que tienes un resumen actual y confiable. Así llegas a la conclusión rapidamente!

Preguntas frecuentes

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

100% de satisfacción garantizada: ¿Cómo funciona?

Nuestra garantía de satisfacción le asegura que siempre encontrará un documento de estudio a tu medida. Tu rellenas un formulario y nuestro equipo de atención al cliente se encarga del resto.

Who am I buying this summary from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICAIDSTORE. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy this summary for 10,08 €. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

45,681 summaries were sold in the last 30 days

Founded in 2010, the go-to place to buy summaries for 14 years now

Empieza a vender
10,08 €
  • (0)
  Añadir