|
Ventricular
Fibrillation
Characteristics
- No discernible P wave
- No discernible QRS duration
- May appear fine or course.
- Patient rapidly becomes unconscious and
pulseless
- Fatal within 3-5 minutes without
intervention
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| Interventions |
|
|
Defibrillation |
Start
CPR until AED arrives. Then give 1 shock at 360J
if indicated. Cont. to shock at 360j q 2 minutes if
indicated. |
|
CPR |
Restart
chest compressions immediately after each shock at a ratio of 30
compressions to 2
respirations. |
|
ACLS |
Medications |
| . |
Epinephrine |
1 mg IV q3-5 min. Or Vasopressin
40 U IV, once, in place of the 1st or 2nd dose of epi. |
| . |
Amiodarone
|
300mg IV may repeat
once at 150mg in 3-5 min. if VF persists |
| . |
Lidocaine |
1.0-1.5 mg/kg IV may
repeat X 2, q 5-10 min. at 0.5-0.75 mg/kg, (3mg/kg max. loading
dose) if VF persists |
| . |
Magnesium
Sulfate |
1-2 g IV diluted in
10mL D5W
(5-20 min. push) for torsades de pointes or suspected/ known
hypomagnesemia. |
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