Asystole - Revision history

Treloars at 15:00, 12 December 2022

2022-12-12T15:00:33Z

← Older revision		Revision as of 15:00, 12 December 2022
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	====Pharmacologic Therapy:====		====Pharmacologic Therapy:====
	* Administer [[Epinephrine\|EPINEPHRINE 1:10,000]] (0.1 mg/ml) 1 mg IV / IO – repeat every 3-5 minutes of arrest		* Administer [[Epinephrine\|EPINEPHRINE 1:10,000]] (0.1 mg/ml) 1 mg IV / IO – repeat every 3-5 minutes of arrest
	~~'''OR'''~~
	* Administer [[Vasopressin\|VASOPRESSIN]] 40 units IV / IO – to replace the first or second dose of epinephrine
	** Vasopressin is a one-time dose

	{\| class="wikitable"		{\| class="wikitable"
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	* Patient initially presents and maintains in True Asystole (verified in 2 leads)		* Patient initially presents and maintains in True Asystole (verified in 2 leads)
	* Airway has been successfully controlled (not necessarily intubated)		* Airway has been successfully controlled (not necessarily intubated)
	* EPINEPHRINE 1:10,000 (0.1 mg/ml) 1 mg IVP or IO has been administered & allowed time to circulate ~~x1, or~~		* EPINEPHRINE 1:10,000 (0.1 mg/ml) 1 mg IVP or IO has been administered & allowed time to circulate x1
	* VASOPRESSIN 40 units IVP has been administered and allowed time to circulate. x1
	* EtCO2 is (less than) < 20 mm Hg		* EtCO2 is (less than) < 20 mm Hg
	* If clinically indicated - ATROPINE SULFATE 1.0 mg rapid IVP/ IO has been administered and allowed time to circulate x1.		* If clinically indicated - ATROPINE SULFATE 1.0 mg rapid IVP/ IO has been administered and allowed time to circulate x1.

Treloars at 14:42, 24 April 2020

2020-04-24T14:42:29Z

← Older revision		Revision as of 14:42, 24 April 2020
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	* Administer [[Epinephrine\|EPINEPHRINE 1:10,000]] (0.1 mg/ml) 1 mg IV / IO – repeat every 3-5 minutes of arrest		* Administer [[Epinephrine\|EPINEPHRINE 1:10,000]] (0.1 mg/ml) 1 mg IV / IO – repeat every 3-5 minutes of arrest
	'''OR'''		'''OR'''
	* Administer [[~~Hormones Vitamins~~\|VASOPRESSIN]] 40 units IV / IO – to replace the first or second dose of epinephrine		* Administer [[Vasopressin\|VASOPRESSIN]] 40 units IV / IO – to replace the first or second dose of epinephrine
	** Vasopressin is a one-time dose		** Vasopressin is a one-time dose

Treloars at 13:44, 24 April 2020

2020-04-24T13:44:27Z

Treloars at 00:23, 24 April 2020

2020-04-24T00:23:37Z

← Older revision		Revision as of 00:23, 24 April 2020
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	====If suspected DRUG OVERDOSE (5.05)====		====If suspected DRUG OVERDOSE (5.05)====
	* For calcium channel and beta-blockers		* For calcium channel and beta-blockers
	** Administer [[~~Antidiabetics~~\|GLUCAGON]] 2 mg IVP, IN or IO May repeat x 1		** Administer [[Glucagon\|GLUCAGON]] 2 mg IVP, IN or IO May repeat x 1
	* For calcium channel blockers		* For calcium channel blockers
	** Administer [[Electrolytes\|CALCIUM CHLORIDE]] 1 gram IVP or IO		** Administer [[Electrolytes\|CALCIUM CHLORIDE]] 1 gram IVP or IO

Treloars at 23:36, 23 April 2020

2020-04-23T23:36:27Z

← Older revision		Revision as of 23:36, 23 April 2020
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	{\| class="wikitable"		{\| class="wikitable"
	\|-		\|-
	! The current national guidelines do not include [[~~Antiarrhythmics~~\|ATROPINE]] for treatment of TRUE ASYSTOLE as there is no proof it has a therapeutic benefit. <br />		! The current national guidelines do not include [[Atropine\|ATROPINE]] for treatment of TRUE ASYSTOLE as there is no proof it has a therapeutic benefit. <br />
	Under the Seminole County Practice Parameters the use of [[~~Antiarrhythmics~~\|ATROPINE SULFATE]] is indicated in cardiac arrest that may be caused by extreme bradycardia/hypotension.		Under the Seminole County Practice Parameters the use of [[Atropine\|ATROPINE SULFATE]] is indicated in cardiac arrest that may be caused by extreme bradycardia/hypotension.
	<br />		<br />
	The Paramedic may use [[~~Antiarrhythmics~~\|ATROPINE SULFATE]] based on clinical impression where there is a possibility that its use will have a positive therapeutic benefit. <br />		The Paramedic may use [[Atropine\|ATROPINE SULFATE]] based on clinical impression where there is a possibility that its use will have a positive therapeutic benefit. <br />
	If ATROPINE SULFATE is used, the recommended dose is: [[~~Antiarrhythmics~~\|ATROPINE SULFATE]] 1 mg rapid IVP or IO Repeat every 3 - 5 minutes up to a total of .04 mg/kg		If ATROPINE SULFATE is used, the recommended dose is: [[Atropine\|ATROPINE SULFATE]] 1 mg rapid IVP or IO Repeat every 3 - 5 minutes up to a total of .04 mg/kg
	\|}		\|}

Treloars: /* If suspected DRUG OVERDOSE (5.05) */

2020-04-22T20:57:02Z

If suspected DRUG OVERDOSE (5.05)

← Older revision		Revision as of 20:57, 22 April 2020
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	** Administer [[Electrolytes\|SODIUM BICARBONATE]] 1 mEq/kg IVP. Repeat in 5-10 mins.		** Administer [[Electrolytes\|SODIUM BICARBONATE]] 1 mEq/kg IVP. Repeat in 5-10 mins.
	* For narcotic OD		* For narcotic OD
	** Administer [[~~Nalonoxe~~\|NALOXONE (NARCAN)]] 1 mg IVP, IN or IO		** Administer [[Naloxone\|NALOXONE (NARCAN)]] 1 mg IVP, IN or IO


	====For patients with HYPERKALEMIA:====		====For patients with HYPERKALEMIA:====

Treloars at 20:56, 22 April 2020

2020-04-22T20:56:35Z

← Older revision		Revision as of 20:56, 22 April 2020
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	** Administer [[Electrolytes\|SODIUM BICARBONATE]] 1 mEq/kg IVP. Repeat in 5-10 mins.		** Administer [[Electrolytes\|SODIUM BICARBONATE]] 1 mEq/kg IVP. Repeat in 5-10 mins.
	* For narcotic OD		* For narcotic OD
	** Administer [[~~Antagonists~~\|NALOXONE (NARCAN)]] 1 mg IVP, IN or IO		** Administer [[Nalonoxe\|NALOXONE (NARCAN)]] 1 mg IVP, IN or IO

Treloars at 19:57, 22 April 2020

2020-04-22T19:57:41Z

← Older revision		Revision as of 19:57, 22 April 2020
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	====Pharmacologic Therapy:====		====Pharmacologic Therapy:====
	* Administer [[~~Adrenergics~~\|EPINEPHRINE 1:10,000]] (0.1 mg/ml) 1 mg IV / IO – repeat every 3-5 minutes of arrest		* Administer [[Epinephrine\|EPINEPHRINE 1:10,000]] (0.1 mg/ml) 1 mg IV / IO – repeat every 3-5 minutes of arrest
	'''OR'''		'''OR'''
	* Administer [[Hormones Vitamins\|VASOPRESSIN]] 40 units IV / IO – to replace the first or second dose of epinephrine		* Administer [[Hormones Vitamins\|VASOPRESSIN]] 40 units IV / IO – to replace the first or second dose of epinephrine

Treloars at 15:40, 1 February 2018

2018-02-01T15:40:44Z

← Older revision		Revision as of 15:40, 1 February 2018
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	'''If patient combative post resuscitation, refer to [[Analgesia and Sedation\|ANALGESIA / SEDATION PARAMETER (2.04)]]'''		'''If patient combative post resuscitation, refer to [[Analgesia and Sedation\|ANALGESIA / SEDATION PARAMETER (2.04)]]'''

			[[Category:Cardiac\|0402]]

Treloars: /* Section 4 - CARDIAC */

2016-04-25T18:29:32Z

Section 4 - CARDIAC

← Older revision		Revision as of 18:29, 25 April 2016
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	====Pharmacologic Therapy:====		====Pharmacologic Therapy:====
	* Administer [[Adrenergics\|EPINEPHRINE 1:10,000]] 1 mg IV / IO – repeat every 3-5 minutes of arrest		* Administer [[Adrenergics\|EPINEPHRINE 1:10,000]] (0.1 mg/ml) 1 mg IV / IO – repeat every 3-5 minutes of arrest
	'''OR'''		'''OR'''
	* Administer [[Hormones Vitamins\|VASOPRESSIN]] 40 units IV / IO – to replace the first or second dose of epinephrine		* Administer [[Hormones Vitamins\|VASOPRESSIN]] 40 units IV / IO – to replace the first or second dose of epinephrine
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	* Patient initially presents and maintains in True Asystole (verified in 2 leads)		* Patient initially presents and maintains in True Asystole (verified in 2 leads)
	* Airway has been successfully controlled (not necessarily intubated)		* Airway has been successfully controlled (not necessarily intubated)
	* EPINEPHRINE 1:10,000 1 mg IVP or IO has been administered & allowed time to circulate x1, or		* EPINEPHRINE 1:10,000 (0.1 mg/ml) 1 mg IVP or IO has been administered & allowed time to circulate x1, or
	* VASOPRESSIN 40 units IVP has been administered and allowed time to circulate. x1		* VASOPRESSIN 40 units IVP has been administered and allowed time to circulate. x1
	* EtCO2 is (less than) < 20 mm Hg		* EtCO2 is (less than) < 20 mm Hg

← Older revision		Revision as of 13:44, 24 April 2020
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	** Administer [[Glucagon\|GLUCAGON]] 2 mg IVP, IN or IO May repeat x 1		** Administer [[Glucagon\|GLUCAGON]] 2 mg IVP, IN or IO May repeat x 1
	* For calcium channel blockers		* For calcium channel blockers
	** Administer [[~~Electrolytes~~\|CALCIUM CHLORIDE]] 1 gram IVP or IO		** Administer [[Calcium Chloride\|CALCIUM CHLORIDE]] 1 gram IVP or IO
	** Avoid if patient is on digoxin or lanoxin		** Avoid if patient is on digoxin or lanoxin
	* For tricyclic antidepressants (amitriptyline [Elavil], amoxapine, imipramine [Tofranil ], nortriptyline [Pamelor] and tetracyclic antidepressants (Remeron) OD, with wide QRS> 0.10 sec		* For tricyclic antidepressants (amitriptyline [Elavil], amoxapine, imipramine [Tofranil ], nortriptyline [Pamelor] and tetracyclic antidepressants (Remeron) OD, with wide QRS> 0.10 sec
	** Administer [[~~Electrolytes~~\|SODIUM BICARBONATE]] 1 mEq/kg IVP. Repeat in 5-10 mins.		** Administer [[Sodium Bicarbonate\|SODIUM BICARBONATE]] 1 mEq/kg IVP. Repeat in 5-10 mins.
	* For narcotic OD		* For narcotic OD
	** Administer [[Naloxone\|NALOXONE (NARCAN)]] 1 mg IVP, IN or IO		** Administer [[Naloxone\|NALOXONE (NARCAN)]] 1 mg IVP, IN or IO
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	====For patients with HYPERKALEMIA:====		====For patients with HYPERKALEMIA:====
	Suspect hyperkalemia in patients with any of the following: Diagnosis of Renal Failure or any form of kidney insufficiency, widening QRS, increased K+ in diet (excessive consumption of cherries, bananas, melons or citrus), acidosis, or shock. Note last dialysis TX.		Suspect hyperkalemia in patients with any of the following: Diagnosis of Renal Failure or any form of kidney insufficiency, widening QRS, increased K+ in diet (excessive consumption of cherries, bananas, melons or citrus), acidosis, or shock. Note last dialysis TX.
	* Administer [[~~Electrolytes~~\|CALCIUM CHLORIDE]] 1 gram IVP or IO. Avoid if patient is on digoxin or lanoxin		* Administer [[Calcium Chloride\|CALCIUM CHLORIDE]] 1 gram IVP or IO. Avoid if patient is on digoxin or lanoxin
	* Administer [[~~Electrolytes~~\|SODIUM BICARBONATE]] 1 mEq/kg IVP or IO		* Administer [[Sodium Bicarbonate\|SODIUM BICARBONATE]] 1 mEq/kg IVP or IO