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Shockable Rhythms VF / Pulseless VT Management algorithm Download Want to take APLS algorithms everywhere you go?Skills Needed Understand the signs of VF or pulseless VT Be able to recognize VF and VT rhythms on ECG Understand and be able to implement the management of VF/pulseless VT according to the cardiac arrest algorithm Know the indications for drugs in refractory VF and pulseless VT Know the contraindications for these drugs

Acls vf pulseless vt algorithm



Acls vf pulseless vt algorithm-BLS Call for hlep, CPR, O2 Shock, 5 cycles CPR, Shock CPR Epinephine 1mg IV/IO repeat every 35 min or may give Vasopressin 40U (replaces 1st or 2nd dose of Epi) 5 cycles CPR, Shock, CPR (Antiarrhythmics during, before or after CPR) Amniodarone 300 mg IV/IO then 150 mg or Lidocaine 115 mg 1st then, 05 mg 075 mg up to 3 mg/kg MaybeVentricular fibrillation (VF) and pulseless ventricular tachycardia (VT) are lifethreatening cardiac rhythms that result in ineffective ventricular contractions VFib (Figure 24) is a rapid quivering of the ventricular walls that prevents them from pumping The ventricular motion of VF is not synchronized with atrial contractions

Cardiac Arrest V Tach Or V Fib Algorithm By The Acls Certification Institute View All Acls Algorithms At Http Ww Acls Emergency Nursing Pharmacology Nursing

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Rhythm IS shockable (ventricular fibrillation or unstable ventricular tachycardia) 1 Administer shock at 2 Joules/kg 2 Administer highquality CPR for 2 minutes 3 Check rhythm If not shockable, move to asystole/PEA rhythmAlgorithm AcuteCoronary Syndrome Algorithm Knowledge Base ‐25ACLS Guidelines ACLSRhythm Interpretation Waveform Capnography Post‐Cardiac Arrest Care BLS and ACLS Survey Cardiac Arrest Algorithm VF/VT Algorithm Asystole Algorithm PEA Algorithm Bradycardia Algorithm Tachycardia Algorithm Adult Stroke Algorithm ACLSDrugs Respiratory ArrestVF/pVT Asystole/PEA CPR Quality • Push hard (at least 2 inches 5 cm) and fast (1001/min) and allow complete chest recoil • Minimize interruptions in compressions • Avoid excessive ventilation • Change compressor every 2 minutes, or sooner if fatigued • If no advanced airway, 302 compressionventilation ratio

Comprehensive ECC algorithm, page 10;IHCA, inhospital cardiac arrest;Algorithm(s) Asystole/Pulseless electrical activity (PEA) Ventricular fibrillation (VF)/pulseless ventricular tachycardia (pVT) Bradycardia Dosing in ACLS Cardiac arrest 1 mg IV every 3 to 5 minutes, follow with ml saline flush Bradycardia IV infusion of 2 to 10 mcg/minute titrated to response Adverse effects May worsen or cause

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CARDIAC ARREST ALGORITHM C O N T I N U O U S C P R — M O N I T O R C P R START High Quality CPR 302 100—1 per minute Compression Fraction > 60—80 % Give Oxygen Attach Monitor/Defibrillator HELP—ACTIVATE EMERGENCY RESPONSE AT 2 MINUTE CYCLE— REEVALUATE RHYTHM E T C O 2 M A P CHECK RHYTHM VF/VT SHOCK Drug Therapy IV/IO AccessThe Cardiac Arrest Algorithm is the most critical algorithm of ACLS When you have a patient without a pulse, you must recognize either ventricular fibrillation (VF) or pulseless ventricular tachycardia (pVT) as shockable rhythms In contrast, you do not shock PEA or asystole, and must follow another pathway of the Cardiac Arrest Algorithm

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