 consists of delivering a therapeutic dose of electrical energy to the affected heart with a device called a defibrillator .

 Manual .

 Automatic .

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 ELECTRICAL SAFETY USE AVOID USING ALCOHOL AVOID PLACING PADDLES NEAR MONITORING ELECTRODES   .

 MONOPHASIC.FIXED 360 JOULES BIPHASIC › TRUNCATED EXPONENTIAL WAVEFORM  150-200 JOULES › RECTILLINEAR WAVEFORM • 120 JOULES  .

 ARE ALL LEADS IN PLACE IS THERE A PULSE? COULD SOMEONE INCREASE THE ECG SIZE   .

 MONITOR: › NEUROLOGICAL STATUS › CARDIOVASCULAR STATUS › RESPIRATORY STATUS › BLOOD VALUES .

ELECTRICAL TECHNICIAN: I’M CLEAR. ARE YOU CLEAR? IS EVERYBODY CLEAR? ALL: CLEAR ELECTRICAL TECHNICIAN: SHOCK DELIVERED .. CHARGING..      TEAM LEADER: THE PATIENT IS ON ______ TEAM LEADER: LET’S SCHOCK THE PATIENT AT ______ JOULES ELECTRIC TECHNICIAN: I WILL DEFIB @ ____ JOULES.

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2 grams in 24 hours 3 mg/kg LIDOCAINE 1.5-0.1.5 mg/kg 0.75 mg/kg 5.10 minutes 2.5 mg 3.DRUG INITIAL NEXT INTERVAL MAXIMUM EPINEPHRINE 1mg 0.5 minutes NONE VASOPRESSI N AMIODARONE 40 units NONE NONE NONE 300 mg 150 mg 5.10 minutes .

5.75 mg/kg 5-10 minutes 3 mg/kg PROCAINAMID E 100 mg 100 mg 5-10 minutes 500 mg .2 grams in 24 hours LIDOCAINE 1.DRUG INITIAL NEXT INTERVAL MAXIMUM AMIODARONE 150 mg 150mg 5.1.10 minutes 2.5 mg/kg 0.0.

DRUG INITIAL NEXT INTERVAL MAXIMUM EPINEPHRIN E 1 mg 1mg 3-5 minutes NONE ATROPINE 1 mg 1mg 3-5 minutes 3 mg .

DRUG INITIAL NEXT INTERVAL MAXIMUM ADENOSINE 6 MG 12mg I 12 mg 2 minutes 3rd dose .

DRUG INITIAL NEXT INTERVAL MAXIMUM VERAPAMIL 2.30 minutes 20 mg INDERAL 0.20 mg over 2 minutes 20-25 mg 15-30 minutes 5-15 minutes/hr infusion titrated to heart rate .5 mg over 2 minutes 5.10mg 10.5.1 mg/kg divided in 3 doses 2 minutes NONE DILTIAZEM 15.

5 mg 3-5 minutes 3 mg .DRUG INITIAL NEXT INTERVAL MAXIMUM ATROPINE 0.5 mg 0.

DRUG DOPAMINE INITIAL 2.5 -5 mcg/kg/min NEXT 5 mcg/kg/min increment INTERVAL MAXIMUM DEPENDING ON PATIENT’S RESPONSE .

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TEAM LEADER  ELECTRIC TECHNICIAN  CHEST COMPRESSOR  AIRWAY MANAGER  IV THERAPIST  RECORDER  .

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