Question: Which Intervention Is Most Appropriate For The Treatment Of A Patient In Asystole

What is a first line treatment for a patient with unstable bradycardia?

Atropine.

Atropine is the first line medication for the treatment of bradycardia.

The administration of atropine typically causes an increase in heart rate.

This increase in the heart rate occurs when atropine blocks the effects of the vagus nerve on the heart..

Which treatment or medication is appropriate for the treatment of a patient in asystole?

epinephrineThe only two drugs recommended or acceptable by the American Heart Association (AHA) for adults in asystole are epinephrine and vasopressin. Atropine is no longer recommended for young children and infants since 2005, and for adults since 2010 for pulseless electrical activity (PEA) and asystole.

What do you do for a patient in asystole?

Asystole is treated by cardiopulmonary resuscitation (CPR) combined with an intravenous vasopressor such as epinephrine (a.k.a. adrenaline). Sometimes an underlying reversible cause can be detected and treated (the so-called “Hs and Ts”, an example of which is hypokalaemia).

Can you recover from asystole?

Resuscitation is generally successful in cases of cardiac arrest due to choking on food or due to pacemaker failure. Overall the prognosis is poor and the survival is even poorer if there is asystole after resuscitation. Data indicate that less than 2% of people with asystole survive.

What drug is indicated for patients with refractory ventricular fibrillation?

amiodaroneIf the patient remains in ventricular fibrillation, pharmacological treatment should begin. Epinephrine is the first drug given and may be repeated every 3 to 5 minutes. If epinephrine is not effective, the next medication in the algorithm is amiodarone 300 mg.

80%High-Quality CPR Saves Lives Chest compression fraction >80% Compression rate of 100-120/min. Compression depth of at least 50 mm (2 inches) in adults and at least 1/3 the AP dimension of the chest in infants and children.

Is sinus bradycardia good or bad?

Normal vs. While a resting heart rate below 60 beats per minute is “officially” considered to be bradycardia, this resting bradycardia is usually entirely normal in healthy people, especially if they are in good physical condition. Sinus bradycardia is most often completely normal.

In which situation does bradycardia require treatment?

Regardless of the patient’s rhythm, if their heart rate is too slow and the patient has symptoms from that slow heart rate, the bradycardia should be treated to increase the heart rate and improve perfusion, following the steps of the bradycardia algorithm below.

What drug is indicated for patients with refractory ventricular fibrillation quizlet?

A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg amiodarone IV.

How many seconds is asystole?

Absence of escape rhythm results in asystole. Sinus pause less than 3 seconds usually needs no investigation and may be seen in normal people; however, longer pauses (≥3 seconds) require further investigation and treatment.

How often should you switch chest compressors to avoid fatigue?

about every 2 minutesWhen giving CPR to an adult, you should give sets of 30 compressions and 2 breaths. When giving CPR you should switch with another rescuer about every 2 minutes if possible to avoid fatigue.

Does bradycardia need treatment?

In most cases, bradycardia in healthy, well-trained athletes does not need to be treated. In fact, in most people, bradycardia does not require treatment unless patients have symptoms that are clearly due to a slow heartbeat.