Treatment for v fib
[DOC File]ISAKanyakumari - Welcome
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Treatment of shock-refractory v-fib, pulseless V-Tach. Polymorphic V-Tach & wide complex tachycardias. Control of hemodynamically stable V – tach when cardioversion unsuccessful. Dosage – Cardiac Arrest. 300 m IVP followed by 150 mg IVP if necessary. Max 2.2 grams over 24 hours. Dosage – Tachy dysarhythmias
[DOC File]brainspew.com
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- Can precipitate CHF and even death from V-Fib. Treatment: - A Pt with a normal heart rate needs no treatment. - Adenosine and calcium channel blockers (Cardizem) should NOT be administered - Vagal maneuvers and cardioversion for severe clinical deterioration
[DOC File]Cardiovascular Drugs for Pharmacology Final
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DOC to terminate A-fib, 2nd choice for prevention. DOC to suppress or prevent V-tach. NO. drug-induced proarrhythmia! Variable effects on . thyroid function. because it is iodinated; some pulmonary toxicity. ↑levels of warfarin and digoxin with amiodarone – often used in same patients! Short-term i.v., or long-term oral treatment. Prolongs ...
[DOC File]Ventricular Fibrillation (VF) / Pulseless Ventricular ...
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: (Cordarone) V-Fib/pulseless VT: Dose 300 mg, (q-5 minutes) repeat 150 mg. Amiodarone: Stable VT or Stable SVT (patient with a pulse) – 150 mg over 10 minutes. A = Atropine: 0.5mg for symptomatic Bradycardia (total dose of 3 mg) (This medication may be beneficial in the presence of AV nodal block or ventricular asystole).
[DOC File]Hamilton County Emergency Medical Services
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Handle patient gently, jarring may trigger V-Fib. Maintain airway and use airway adjuncts appropriate to patient condition. Oxygen appropriate to patient condition, monitor pulse oximetry. Remove wet clothing. Place thermal blankets and heating pad, if available, on patient. IV of warm LR or NS at 75-100cc/hr. Heat packs to axillary and femoral areas.
[DOC File]Emergency Care and Transportation of the Sick and Injured ...
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3. When the V-fib or V-tach is not “fresh,” a rapid shock is not always the best initial treatment. a. When a patient is in cardiac arrest for 4 to 5 minutes or longer, even if the initial ECG showed a shockable rhythm, the success rate is poor. b. Perfusion and oxygenation are needed first.
[DOC File]Conover's 3 AM ACLS Crib Sheet
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V FIB/Pulseless VT - (witness: may thump) SHOCK - 200J ( 200-300J ( 360J. CPR, IV, INTUBATE, ABG/SMA-7. EPI 1mg ASAP, continue 1mg Q3-5'* SHOCK - 360J in 30-60 sec. Repeat, over and over: medication if desired** ( SHOCK - 360J? Bicarb 1.5 amps [1mg/kg] if: long arrest, (K+, tricyclic/drug OD, pre-existing (pH. TACHYCARDIA - NO PULSE ( same as V ...
[DOC File]Practice of Cardiothoracic Anesthesiology
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Prolonged V.fib. is poorly tolerated by these patients because it causes subendocardial hypoperfusion, an increase in myocardial oxygen consumption, and possibly distends the left ventricle (increases LV work). The necessity to cardiovert a patient more than twice should result in treatment with lidocaine and attention to optimizing coronary ...
[DOC File]Organism
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DOC for stopping a. fib & v. tach Lung toxicity (dyspnea, cough & pneumonitis) Thyrotoxicosis or Hypothyroidism ↑ Warfarin ↑ Digoxin. Prolonged QT interval. Metabolized very slowly (t1/2 of weeks) Especially useful if ↑ risk of proarrythmias Amlodipine Calcium Channel Antagonist (Dihydropyridine Class) Angina (not unstable) Hypertension
[DOC File]STATE OF OHIO - SOMC
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If V fib is not present, then all treatment and transport decisions should be tempered by the fact that V fib can be caused by rough handling, noxious stimuli or even minor mechanical disturbances, this means that respiratory support with 100% oxygen should be done …
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