Refractory V Fib Acls Algorithm

The mechanism of action for amiodarone s antiarrhythmic properties remains unclear but it continues to be the primary antiarrhythmic medication for the treatment of ventricular fibrillation and ventricular tachycardia within the.

Refractory v fib acls algorithm. Here is a quote from that page. If diastolic pressure during cpr with an arterial line is 20 mmhg then cpr quality needs to improve. So what to do. Refractory ventricular tachycardia also known as electrical storm is defined as at least two or more separate ventricular tachycardia vt or fibrillation vf episodes requiring intervention in a 24 hour period 1 2 3.

One shock defibrillate 120 to 200joules biphasic or 360joules monophasic one time if still in v. It is discussed on multiple pages but the main page that you can reference is page 100. However lidocaine is discussed in the aha acls provider manual. The appropriate adult cardiac arrest algorithm to use for ventricular fibrillation vf.

5 in vf the etiology of arrest is often attributed to either acute ischemia or non ischemic arrhythmia. Manage the airway if necessary. Acls is an acronym that stands for advanced cardiac life support. Ventricular fibrillation or vf sometimes v fib is a condition where there is uncoordinated contraction of the cardiac muscle of the ventricles in the heart.

Management of refractory ventricular fibrillation rachael scott pharmd pgy2 critical care pharmacy resident pharmacy grand rounds january 22 2019 2018 mfmer slide 2 patient case code 45 response ab is a 30 year old male pod 3 from. Acls protocol n 22 sympathetic blockade. Within acls amiodarone is used for its antiarrhythmic properties and is effective for the treatment of supraventricular arrhythmias and ventricular arrhythmias. Start with the basics.

Adult acls cardiac arrest algorithm for ventricular fibrillation. It is true that lidocaine is not mentioned on the acls algorithm diagram for pulseless vt and vf. 8 although vf appears as a chaotic and disorganized rhythm characteristics of the ventricular fibrillation waveform such as. Acls cardiac arrest vtach and vfib algorithm perform the initial assessment perform high quality cpr establish an airway and provide oxygen to keep oxygen saturation 94 monitor the victim s heart rhythm and blood pressure if the patient is in vtach or vfib this is a shockable rhythm apply defibrillator pads or paddles and shock the.