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    Ventricular Fibrillation/ Pulseless Ventricular Tachycardia Algorithm

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    safasayed
    Ventricular fibrillation/pulseless ventricular tachycardia algorithm outlines the steps to take when a patient is unresponsive and without a pulse. The steps include activating emergency response, performing CPR, defibrillating at 360J or maximum energy level, administering epinephrine every 3-5 minutes, and repeating defibrillation and CPR cycles while considering potential causes and providing appropriate medications.

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    Ventricular Fibrillation/ Pulseless Ventricular Tachycardia Algorithm

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    safasayed
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    Ventricular fibrillation/pulseless ventricular tachycardia algorithm outlines the steps to take when a patient is unresponsive and without a pulse. The steps include activating emergency response, performing CPR, defibrillating at 360J or maximum energy level, administering epinephrine every 3-5 minutes, and repeating defibrillation and CPR cycles while considering potential causes and providing appropriate medications.

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    Ventricular Fibrillation

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    Ventricular fibrillation/pulseless ventricular tachycardia algorithm outlines the steps to take when a patient is unresponsive and without a pulse. The steps include activating emergency response, performing CPR, defibrillating at 360J or maximum energy level, administering epinephrine every 3-5 minutes, and repeating defibrillation and CPR cycles while considering potential causes and providing appropriate medications.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    60 views2 pages

    Ventricular Fibrillation/ Pulseless Ventricular Tachycardia Algorithm

    Uploaded by

    safasayed
    Ventricular fibrillation/pulseless ventricular tachycardia algorithm outlines the steps to take when a patient is unresponsive and without a pulse. The steps include activating emergency response, performing CPR, defibrillating at 360J or maximum energy level, administering epinephrine every 3-5 minutes, and repeating defibrillation and CPR cycles while considering potential causes and providing appropriate medications.

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    © All Rights Reserved
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    of 2

    Ventricular Fibrillation/

    Pulseless Ventricular Tachycardia


    Algorithm
    Assess responsiveness/breathing.
    Activate emergency response system
    Get AED or Monitor/defibrillator

    Check for pulse (no more than 10 seconds)


    If no pulse, begin CPR
    As soon as defibrillator is available:
    Defibrillate 360 J if using monophasic defibrillator. For biphasic energy levels, refer to
    defibrillator specifications;
    if unknown, use maximal energy setting. PEDS: In children, use 2 Joules/kg.
    Resume CPR for 5 cycles.
    Secure airway. Obtain IV/IO access; then reassess pulse and rhythm.

    Pulseless
    Persistent or recurrent VF/VT Return of spontaneous electrical Asystole
    circulation activity
    (PEA)

    Epinephrine 1 mg IV push; repeat Assess vital signs.


    every 3 to 5 min Support airway.
    (PEDS: 0.01 mg/kg IV/IO or 0.1 Support breathing.
    mg/kg ET)) Provide medications
    Go to
    Vasopressin 40 Units IV/IO may be appropriate for blood Go to PEA
    Asystole
    used in place of pressure, heart rate, and Algorithm
    Algorithm
    first or second dose of epinephrine rhythm. Consider
    (adults only). cooling
    patient to 32°C-34°C
    (90°F - 93°F).
    Defibrillate 360 J or equivalent Consider Differential Diagnosis: Hs and Ts
    biphasic energy level (if unknown, use
    maximum energy level) (PEDS: Hypoxia Tablets/toxins
    4 Joules/kg in children). Resume CPR Hypovolemia Tamponade
    for 5 cycles then Tension
    Hydrogen ion
    reassess pulse and rhythm. pneumothorax
    Amiodarone 300 mg IV/IO push. May Hypo/hyperthermia Thrombosis, coronary
    repeat at 150 Hypo/hyperkalemia Thrombosis
    mg IV/IO push in 3 to 5 minutes. pulmonary
    (Class IIb)
    (PEDS: 5 mg/kg)
    Magnesium sulfate 1 to 2 g IV (2 to 4
    mL of a 50%
    solution) diluted in 10 mL of D5W
    used in torsades de
    pointes or hypomagnesemia only.
    PEDS: In children use 25 to 50 mg/kg.
    (Class IIb)
    Repeat defibrillation at maximal energy
    levels. Do 5
    cycles of CPR and reassess. PEDS: ≥ 4
    Joules/kg up to a 10 Joules/kg or adult
    dose.
    If patient remains in VF/VT, sequence
    follows: drug
    intervention, defibrillation, 5 cycles of
    CPR, reassess.

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