Sodium bicarb in cardiac arrest
[DOC File]Question 9
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Alkalinization to an arterial pH of 7.5, for example, appears to reduce the incidence of cardiac arrhythmias and intravenous sodium bicarbonate (in a dose of 1 to 2 meq/kg) is the treatment of choice for sudden-onset ventricular tachycardia, ventricular fibrillation, or cardiac arrest.
[DOCX File]CPR bls acls pals aed First Aid American Heart ...
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Intervention: Infusion of Sodium Bicarb ... data is limited, many critical care clinicians routinely sedate and ventilate the lungs of comatose survivors of cardiac arrest for at least 12 to 24 hours; thus, application of therapeutic hypothermia over this period would be simple. Info from . www.cprfloria.net.
แนวทางปฏิบัติเกี่ยวกับยาที่มีความเสี่ยงสูง (high-alert drugs)
1.cardiac arrest (VF/pulseless VT) Step 1: 300 mg. dilute 5%D/W 30 ml. IV push 3-5 นาที (ซ้ำได้อีก 150 mg. IV) สูงสุดไม่เกิน 2.2 g/ 24 hrs 2.wide complex tachycardia (stable) 24 ชั่วโมงแรก ให้ยา 1000 mg. โดยให้ตามลำดับ ดังนี้
[DOCX File]EM-SERC Sim Template
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A 70 year old man who had an unwitnessed cardiac arrest is brought to the ED via EMS from his Tennis Club. ... & Sodium Bicarbonate Boluses. Definitive airway placed . Discussion and assessment for Hs and Ts. ... utilization of bedside ultrasound (RUSH exam), assessment of H’s and T’s (fluid bolus, may give bicarb, assess for pneumothorax ...
[DOC File]Pharmacology—ACLS Drugs
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Dose reduction necessary in underlying cardiac/renal dysfunction. It is a proarrhythmic, so use caution with other drugs that prolong QT interval. Sodium Bicarbonate. Sodium bicarbonate 7.5% (75mg/ml = 8.92 mEq/ml = 44.6 mEq/50ml) comes in a prefilled syringe. Dose is 1 mEq/kg (44-88 mEq) IV. Can repeat at 50% of dose every 10 minutes thereafter.
[DOC File]ADENOSINE
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1) Hypercalemia induced cardiac arrest : ขนาดยาเริ่มต้น 1 mEq/kg/dose ตามด้วย maintenance dose . 0.5 mEq/kg/dose. 2) Metabolic acidosis ขนาดยาคำนวณตามสูตร ดังนี้. bicarbonate replacement [HCO3 (mEq)] = 0.5 * body weight (kg) * (24 – serum HCO3)
[DOC File]แนวทางปฏิบัติเกี่ยวกับยาที่มีความเสี่ยงสูง (high-alert drugs)
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1.cardiac arrest (VF/pulseless VT) Step 1: 300 mg. dilute 5%D/W 30 ml. IV push 3-5 นาที (ซ้ำได้อีก 150 mg. IV) สูงสุดไม่เกิน 2.2 g/ 24 hrs. 2.wide complex tachycardia (stable) 24 ชั่วโมงแรก ให้ยา 1000 mg. โดยให้ตามลำดับ ดังนี้
[DOC File]Data Collection Forms SS
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Additional information: Post intubation ABG: 7.0/28/158/ 100% FIO2. K 4.6. Provide these values when requested or item verbalized as cause of current condition. Dose of Sodium Bicarb is 1mEq/kg is appropriate for known preexisting hyperkalemia, tricyclic antidepressant overdose, and other drug overdose.
[DOCX File]XIVXV - Home - NEMSIS
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Whether patient went into cardiac arrest after arrival of EMS. E11_01. Cardiac Arrest. Out of Hospital Cardiac Arrest Data Elements. ... Bicarb. Yes/No, Whether sodium bicarbonate was administered by the EMS agency. Fluid Bolus.
[DOC File]Final 1.PDF - Angelfire
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Hydrogen Ions (acidosis) Consider sodium bicarb. Hyperkalemia Consider sodium bicarb. Hypothermia Aggressively warm patient. Tension Pneumothorax Chest decompression. Tricyclic Overdose Consider sodium bicarb. 3. Epinephrine (1:10,000) 1 mg IV push or 2 mg via ET tube. Repeat every . 3-5 minutes. 4.
[DOC File]Nassau Regional Emergency Medical Services
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If burning persists titrate half strength adult bicarb (3.75% or 4.2%) and administer 5cc through a nebulizer. Consider Steriods. This is the only time a chemical will be neutralized in or on the body by field medical personnel. Nassau Regional Emergency Medical Services. Critical Care & Paramedic Hazardous Materials Treatment Protocol III.W ...
[DOCX File]STATION 1
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1x ED Reg (arrives when cardiac arrest buzzer pushed, or within 1 minute otherwise) 3x Nurses. ... - Early administration of sodium bicarb boluses - Consideration of Intralipid bolus - Airway person to state after 2nd shock: “I don’t have a very good seal” with expectation that Guedel airway inserted
[DOC File]UNDERSTANDING CODE DRUGS
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Essential in cardiac arrest and emergency cardiac care. Expired air = 16-17% oxygen. Must given supplemental oxygen @ FIO2 of 100%. Give to all patients with acute chest pain that may be due to cardiac ischemia, suspected hypoxemia of any cause and cardiopulmonary arrest. Do not withhold from patients with COPD
[DOC File]Fluid and Electrolyte Therapy in Children
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A 5 kg infant receives sodium bicarbonate during CPR. If his serum Na was 140. at the time of his arrest, what dose of sodium bicarbonate will it take for his serum Na to exceed 150 mEq/L? Answer: 30 mEq or six 1 mEq/Kg doses. Hyponatremia: treatment strategies. Acute, severe, symptomatic, hyponatremia:
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