Pediatric Ventricular Fibrillation or Pulseless Ventricular Tachycardia: Difference between revisions
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(Created page with "==Section 7 - PEDIATRIC / OBSTETRICAL== ===7.03 PEDIATRIC VENTRICULAR FIBRILLATION /PULSELESS VENTRICULAR TACHYCARDIA=== * Initiate 5 cycles of (30:2) one-rescuer or (15:2) ...") |
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'''''If V-Fib converts to a pulse-producing tachycardic rhythm, follow with [[Antiarrhythmics|LIDOCAINE]] boluses IVP. Refer to Broselow Tape for administration based on weight / length.''''' | '''''If V-Fib converts to a pulse-producing tachycardic rhythm, follow with [[Antiarrhythmics|LIDOCAINE]] boluses IVP. Refer to Broselow Tape for administration based on weight / length.''''' | ||
[[Category:Pediatric and Obstetrical]] | |||
Revision as of 01:41, 2 April 2012
Section 7 - PEDIATRIC / OBSTETRICAL
7.03 PEDIATRIC VENTRICULAR FIBRILLATION /PULSELESS VENTRICULAR TACHYCARDIA
- Initiate 5 cycles of (30:2) one-rescuer or (15:2) two-rescuer CPR for approximately 2 minutes to allow blood to circulate and continue throughout resuscitation, minimizing interruptions.
- Assist ventilations with OXYGEN @ 100% via BVM. DO NOT HYPERVENTILATE
- INTUBATE and establish peripheral IV or IO line as able.
- DEFIBRILLATION @ 2 J/kg.
- Proceed to next step only if V-Fib / Pulseless V-Tach persists.
- If rhythm converts, follow appropriate Practice Parameters.
Refer to Broselow Tape for specific medication administration based on weight / length.
- EPINEPHRINE 1:10,000 0.01 mg / kg IV /IO
- Repeat EPINEPHRINE 1:10,000 0.01 mg / kg every 3 - 5 minutes of continued arrest.
- DEFIBRILLATION @ 4 J/kg. Continue CPR immediately.
- If rhythm converts, follow appropriate Practice Parameters.
- If hypovolemia suspected, fluid bolus 20 ml / kg.
- LIDOCAINE 1.0 mg/kg IV / IO.
- DEFIBRILLATION @ 4 J/kg. Continue CPR immediately.
- If rhythm converts, follow appropriate Practice Parameters
- After 10 minutes, LIDOCAINE 1.0 mg/kg IV / IO.
- DEFIBRILLATION @ 4 J/kg. Continue CPR immediately.
- If rhythm converts, follow appropriate Practice Parameter
If V-Fib converts to a pulse-producing tachycardic rhythm, follow with LIDOCAINE boluses IVP. Refer to Broselow Tape for administration based on weight / length.