V Fib Treatment Pals

You rush to assess the person and find them to be pulseless and not breathing.

V fib treatment pals. Deliver rescue breaths d. Ventricular fibrillation and pulseless ventricular tachycardia. 5 in vf the etiology of arrest is often attributed to either acute ischemia or non ischemic arrhythmia. Pals cardiac arrest algorithm 1.

5 mg kg bolus max dose. 5 mg kg over 20 60 minutes max dose. Rapid infusion causes hypotension. Doses should be administered and followed with a rapid flush as fast as possible.

A 15 year old presents after collapsing at a sporting event. Instructional guide for pediatric advanced life support training and medications. It is inappropriate to provide a shock to pulseless electrical activity or asystole. Asystole and pea are also included in the cardiac arrest algorithm but are non shockable rhythms.

Pals tachycardia initial management algorithm 1. If the patient still has an svt rhythm 1 2 minutes later give 12mg iv io over 1 3 seconds immediately followed by 20ml of ns by rapid ivp io. Rhythm is shockable ventricular fibrillation or unstable ventricular tachycardia 1. Call for help initiate cpr b.

Age category age range normal heart rate newborn 0 3 months 80 205 per minute infant young child 4 months to 2 years 75 190 per minute child school age 2 10 years 60 140 per minute older child adolescent. Is the rhythm shockable. Activate emergency medical services call a pediatric code blue obtain aed or defibrillator 2. 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.

If patient fails to respond to stimulus and treatment. Tachycardia is diagnosed by manual testing or heart rate monitor normal heart rates vary with age size. Administer high quality cpr for 2 minutes 3. Give 6mg iv io over 1 3 seconds immediately followed by 20ml of ns by rapid iv io.

300 mg vt svt. Check rhythm if not shockable move to asystole pea rhythm protocol if. Administer shock at 2 joules kg 2. Pulseless vt v fib.

Consider halting pals efforts in people who have had prolonged asystole. The treatment of vf and pulseless vt ventricular fibrillation and pulseless ventricular tachycardia is included in the cardiac arrest algorithm. Apply an aed c. 8 although vf appears as a chaotic and disorganized rhythm characteristics of the ventricular fibrillation waveform such as.

Consider a lower dose of 3mg for patients that. Ventricular fibrillation v fib recurrent hemodynamically unstable ventricular tachycardia hypertrophic cardiomyopathy supraventricular tachyarrhythmias svt dose. What is your initial step in management. Used to treat atrial fibrillation atrial flutter atrial tach and symptomatic vt.

Initial rhythm demonstrates the following. Cardiac function can only be recovered in pea or asystole through the administration of medications.