Cardiac arrest conditions 0.0 / 5 ? OthernursingOtherAll boards Created by: evepoagCreated on: 18-05-22 15:56 What are the shockable cardiac arrest rhythms? Ventricular fibrillation Pulseless ventricular tachycardia 1 of 28 What are the non-shockable cardiac arrest rhythms? Pulseless electrical activity Asystole 2 of 28 Is shockable or non-shockable rhythm cardiac arrests more common? Non-shockable cardiac arrest rhythms 3 of 28 Is shockable or non-shockable rhythm cardiac arrests more likely to survive? Shockable cardiac arrest rhythms 4 of 28 What are the 4 H's of potential reversible causes of cardiac arrest? Hypoxia Hypothermia Hypo/hyperkalaemia Hypovolaemia 5 of 28 What does hypoxia mean? lack of oxygen 6 of 28 How do you treat hypoxia? treat the cause apply oxygen therapy 7 of 28 What does hypovolaemia mean? low extracellular fluid/fluid loss 8 of 28 How do you treat hypovolaemia? Possible blood transfusion is needed (take group and match bloods) and blood gas get IV access and give fluids determine how they lost fluids ,eg: major blood loss 9 of 28 What does hyperkalaemia mean? too much potassium 10 of 28 How do you treat hyperkalaemia? protect heart - administer calcium and rapid bolus injection shift potassium into cells via drugs administer glucose guided by blood glucose monitoring remove potassium from body 11 of 28 What does hypokalaemia mean? low potassium 12 of 28 What does hyperglycaemia mean? high blood sugar levels 13 of 28 What does hypoglycaemia mean? low blood sugar levels 14 of 28 What does hypothermia mean? body temperature below 35 degrees celcius 15 of 28 How do you treat hypothermia? rewarming via ECLS withhold adrenaline 16 of 28 What are the 4T's of potential reversible causes of cardiac arrest? Tension pneumothorax Tamponade Toxins Thrombosis 17 of 28 What is tension pneumothorax? air trapped in pleural cavity, increases pressure 18 of 28 How does tension pneumothorax present? pre-arrest symptoms respiratory distress results from a POCUS - point of care ultrasound 19 of 28 How do you treat tension pneumothorax? decompress chest immediately via open throacostomy needle chest decompressions into the 2nd intercostal space, mid-clavicular line, followed by a chest drain 20 of 28 What is cardiac tamponade? extra fluid built up in the space surrounding the heart 21 of 28 How does cardiac tamponade present, and who is at risk? results from a point of care echocardiography Patients are at risk after cardiac surgery/ pacemaker insertion/major trauma, due to bleeding around the heart 22 of 28 How do you treat cardiac tamponade? decompress pericardium immediately perform bedside open heart surgery or bedside echo 23 of 28 What is toxins? a type of poisoning 24 of 28 How do you treat toxic cardiac arrest? Look at drug chart Think about reversal agents, eg: naloxone for opioid overdose measure temperature due to hypo/hyperthermia during overdose long resuscitation as toxin is metabolised or excreted 25 of 28 What is thromboembolic (pulmonary embolism or coronary thrombosis)? blood clots form in a blood vessel, breaks loose and blocks another blood vessel 26 of 28 How do you treat thromboembolic cardiac arrest? administer thrombolytic drugs continue CPR for 60-90minutes 27 of 28 "If you hear hooves, think horses not zebras" What does this mean? Odds are, patient has the more common diagnosis than a rare one 28 of 28
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