Cyclic Algorithm for Pulselessness (After Calling for Help and Activating Emergency Response) - ANS-1. CPR: Vascular *Access* During 1st Round, *Epinephrine* or Vasopressin During 2nd Round, Amiodarone (If Ventricular Tachycardia) During 3rd Round, Consider Reversible Causes During Next Round.
2. ...
ACLS
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Questions
and
Answers
2024
(100%
Correct)
Cyclic
Algorithm
for
Pulselessness
(After
Calling
for
Help
and
Activating
Emergency
Response)
-
ANS-1.
CPR:
Vascular
*Access*
During
1st
Round,
*Epinephrine*
or
Vasopressin
During
2nd
Round,
Amiodarone
(If
Ventricular
Tachycardia)
During
3rd
Round,
Consider
Reversible
Causes
During
Next
Round.
2.
Always
Check
for
Shockable
Rhythm
After
Every
Round
(Pulseless
Ventricular
X).
9
Reversible
Causes
of
Pulselessness
(Acted
On
During
4th
Round
of
CPR)
-
ANS-1.
*Hypoxia*:
Give
Oxygen.
2.
*Hypovolemia*:
Give
Fluids.
3.
*Hypo-
or
Hyper-kalemia*:
Distinguish
Before
Giving
Sodium
Bicarbonate.
4.
*Hydrogen*
Ions
(Acidosis):
Give
Sodium
Bicarbonate.
5.
*Hypothermia*:
Warm.
6.
*Tension*
Pneumothorax:
Perform
Needle
Decompression.
7.
*Tamponade*:
Perform
Needle
Aspiration.
8.
*Tricyclic
Antidepressants*:
Give
Sodium
Bicarbonate.
9.
*Thrombosis*
of
Lungs
(tPA)
or
Heart
(Cath
Lab).
Adenosine
Contraindicated
for
Which
Tachycardia?
-
ANS-Irregular
Verapamil
(Non-Dihydropyridine
Calcium
Channel
Blockers)
Contraindicated
for
Which
Tachycardia?
-
ANS-Ventricular
4
End-Points
for
*Procainamide*
in
*Stable*
Wide-Complex
Tachycardia
-
ANS-1.
*Resolution*
of
Arrhythmia.
2.
Drop
in
*Pressure*.
3.
*Widening*
of
QRS;
or,
4.
Reach
Max
Dose
of
*17*
Milligrams
Per
Kilogram.
Contraindication
for
*Sotalol*
and
*Procainamide*
During
Management
of
*Stable*
Wide-Complex
Tachycardia
(Unstable
=
Cable
=
Synchronized
Cardioversion)
-
ANS-Prolonged
*QT*;
Use
Adenosine
(First-Line
Amiodarone
Already
Tried)
Management
of
Torsades
-
ANS-Defibrillation
for
Pulseless,
Magnesium
(2
Milligrams)
for
Stable
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