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Pulseless v-fib or v-tach
- 5 cycles cpr
- iv - et tubes
- 5 cycles check rythem
- epi 1:10000 1 mg iv ( repeat ever 3-5 mins.)
- amioderone 300mg
- Medcom options
- Epi/shocl
- amioderone 150/shock
- epi/shocl
- mag sulf 1-2 grams/ shock
- epi/shock
When defibrillating how many joules for the first shock both types of machines?
- bipasic- 120-200 monophasic 360
- second shock max joules
PEA / asystole
- IV-ET tube
- 5 cycles
- epi 1:10000 1 mg iv repeat 3-5 mins
- if rate is less than 60 Atropine 1mg IV 3-5 mins
- if no shockable continue cpr
- medcom
- epi
- atropine
- if tension pneumothorax needle decompress
- Consider AMS- trauma- field termination
Return of pulse after cardiac arrest
- Airway
- IV
- Monitor EKG
- consider protocol apprpriate to presenting condition
V-Tach with a pulse
- iv-et-02
- Monitor ekg
- Medcom
- Lido 1.5 mg/kg IV push
- Sync or unsync cardioversion 50-360 joules
- Pre Medicate for
- Lido 1-1.5 mg/kg iv
- Lido Drip 2-4 mg/min
- Me Sul 1-2 grams iv over 1-2 mins
- Adenosine 6 mg RAPID
- Adenosine 12mg RAPID
What Meds are given to pre medicate before cardioversion?
- Diazepam 2-10 mg iv push
- Midazolam ( Versed) 2-5 mg iv
- Morphine 2-10 mg iv
Narrow Complex Tach
- 02 iv et Monitor
- Medcom
- Valsalva
- IF pt is alert Adenosine 6mg RAPID
- Adenosine 12mg Rapid
- synhronized cardioversion 50-360 joules
- pre med
- adenosine 6 mg
- adenosine 12 mg
- fluid challenge
symtomatic bradycardia
- 02-iv monitor ekg
- medcom
- if HR less then 50 and decreased cardiac output atropine.5 mg ( will not work on complete heart block or 2nd degree type 2)
- transcuaneous pacing- Premed
- Dopamine 2-20 mg/kg/ min yv drip
- epi 2-10 microg/min drip 1:10000
- Fluid challenge
Ventricular Ectopy
- o2-iv-monitor
- Medcom
- Lidocaine 1-1.5 mg/kg iv push
- Licosaine 2-4 mg/min iv drip
- Meg Sulfate 1-2 grams iv ver 1-2 mins
Acute Resratory Distress
- 02
- Albuterol or levalbuterol ( 1.25 mg dose) and iprotropium( atrovent) 5oo mcg- Albuterol may be repeated once is symptoms persists.
- monitor ekg
- iv access
- Medcom
- Epi 1:1000 .3-.5 mg sc
- albuterol or levalbuterol
- atrovent
Respiratory Arrest / agonal respirations
- Establish airway- use magil forceps to remove object
- Et tube
- IV
- Monitor EKG
- Consider AMS or needle compress
Cardiogenic shock without dysrhythmia
- Monitor ekg iv
- Medcom
- Fluid Challense
- Dopamine 2-20ug/kg/min
Chest Pain ( agina or suspected AMI) acutre miocardial infraction
IV o2
- Aspril 325 chewed
- Nitro 1/150 gr Sl if B greater than 120 or 100 with IV
- Medcom
- Nitro
- Lido IV ( 1-1.5 mg/kg ) Lido drip ( 2- 4 mg/min)
- Mag Sulfate
Acute Pulmonary Edema
- IV - o2- monitor
- Diastolic greater than 100 Nitro
- Medcom-
- Furosemide ( lasix) 40-80 mg iv push
- Dopamine IV drip 2-20 mcg/ kg/min
- Morphine
AMS
- iv- monitor
- Thiamine 100 mg iv
- D50 over 1-2 mins if bs less than 80
- Glucagon 1 mg IM if no IV
- Medcom
- Nalozone .4mg iv,im ( respiratory depression)

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Ericallarose

141592

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Medical protocols

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Protocols

Updated

2012-03-14T21:38:26Z

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