History:
- Respiratory arrest
- Cardiac arrest
Significant Findings:
Differential:
- Continue to address specific differentials associated with the original dysrhythmia
Treatment:
- Continue ventilatory support
- 100% Oxygen
- EtCO2 ideally >20
- RR <12
Termination of ventricular rhythms?
Sustained Pulse
PEARLS:
- Rule out pulmonary edema before administration of Normal Saline bolus to a hypotensive patient.
- If patient remains hypotensive after initial 500 mL Normal Saline, administer an additional 500 mL; total 1,000 mL.
- For transcutaneous pacing set rate for 70 beats per minute. Increase current (mA) until electrical and mechanical capture occur or pacing current reaches (200 mA).
- Amiodarone (Cordarone) is not a primary post-arrest medication unless significant ectopy is present.
- 150 mg infusion over 10 minutes:
-
- Add 150 mg Amiodarone (Cordarone)
- 50 mL bag Normal Saline
- administer through a 10 gtt set at 50 drops per minute.
1 mg/min infusion:
- Add 150 mg Amiodarone (Cordarone)
- 50 mL bag Normal Saline
- administer through a 60 gtt set at 20 drops per minute.
- Transport to a PCI capable hospital.