You are caring for a patient who converted to ventricular fibrillation (VF). The patient was defibrillated at 200 joules, 300 joules, and 360 joules, respectively. The patient remains in VF
According to national standards, you are aware that what medication should be used?
A) Epinephrine 1 mg IV push
B) Lidocaine 100 mg IV push
C) Amiodarone 300 mg IV push
D) Sodium bicarbonate 1 amp IV push
Ans: A
Feedback: Epinephrine should be administered as soon as possible after the second rhythm check (immediately before or after the second defibrillation) and then every 3 to 5 minutes to make it easier to convert the dysrythmia to a normal sinus rhythm with defribrillation. Epinephrine may also increase cerebral and coronary artery blood flow. Antiarrhythmic medications such as amiodarone and licocaine are given if ventricular dysrhythmia persists.
You might also like to view...
Which design is more suitable for the detailed exploration of a problem where little is already known about the problem?
a. Sequential informative b. Sequential explanatory c. Sequential exploratory d. Embedded
Select the statement by the nurse that is most accurate when instructing a client with a newly formed permanent colostomy on how to use the irrigation set to prevent constipation
a. Make sure the irrigation bag is above the level of your head for best results. b. Insert the lubricated catheter 2 to 4 inches into the stoma. c. Dilate the stoma prior to beginning the procedure by using one finger. d. Use cold water to best stimulate colon pe-ristalsis.
The patient's plan of care is made to reflect the needs of the patient
True False
People who experience psychotic disorders lose
1. the will to continue. 2. contact with reality. 3. the ability to comply with treatment. 4. contact with intellectual functions.