13631 - Eugene Yevstratov MD Sustained Ventricular...

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Eugene Yevstratov MD
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Sustained Ventricular Tachycardia No pulse Pulse present Unstable Stable O O 2 2 and IV access and IV access Treat as VF Lidocaine 1mg/kg Consider sedation Lidocaine 0.5mg/kg Cardiovert 50J Every 8 min.untill VT resolves or up to 3mg/kg if not Cardiovert 100J Procainamide 20mg/min until VT resolve or up to 1gr If not Cardiovert up to 360J Consider
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Eugene Yevstratov MD Asystole Continue CPR Epinephrine 1: 10 000 , 0.5 – 1.0mgIV push Intubate when possible Atropine, 1.0 mg IV push ( repeated in 5 min ) Consider bicarbonate Consider pacing 20 min
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Cardiac Arrest 1 Endotracheal intubation as well as hyperventilation should be performed to maintain a PaCo2 between 25 to 30mm Hg and a Pa O2 of approximately 100mm Hg 2 Cerebral perfusion pressure should be maintained between 80 and 100 mm Hg by maintaining mean arterial pressure and reducing intracranial pressure, if it is elevated. (Cerebral perfusion pressure is the mean arterial pressure minus intracranial pressure) Reduction in intracranial pressure can be produced by hyperventilation and the administration of osmotic and loop diuretics.
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