Pediatric Ventricular Fibrillation or Pulseless Ventricular Tachycardia: Difference between revisions

From Protocopedia
Jump to navigation Jump to search
VisualWikitext
No edit summary
 
(5 intermediate revisions by the same user not shown)
Line 3: Line 3:




* Initiate 5 cycles of (30:2) one-rescuer or (15:2) two-rescuer CPR for approximately 2 minutes to allow blood to circulate and continue throughout resuscitation, minimizing interruptions.
* Initiate 5 cycles of high quality (30:2) one-rescuer or (15:2) two-rescuer CPR for approximately 2 minutes to allow blood to circulate and continue throughout resuscitation, minimizing interruptions.
*Assist ventilations with [[Medical Gases|OXYGEN]] @ 100% via BVM. DO NOT HYPERVENTILATE
*Maintain rate of between 100-120 compressions per minute.
*Maintain compression depth of at least 1/3 of the depth of the chest.
*Allow for complete chest recoil between compressions.
*Minimize interruptions
*Assist ventilations with [[Oxygen|OXYGEN]] @ 100% via BVM. DO NOT HYPERVENTILATE
* INTUBATE and establish peripheral IV or IO line as able.
* INTUBATE and establish peripheral IV or IO line as able.
* DEFIBRILLATION @ 2 J/kg.  
* DEFIBRILLATION @ 2 J/kg.  
Line 10: Line 14:
**If rhythm converts, follow appropriate Practice Parameters.
**If rhythm converts, follow appropriate Practice Parameters.


'''''Refer to Broselow Tape for specific medication administration based on weight / length.'''''
'''''Refer to Handtevy System for specific medication administration based on weight / length.'''''
* [[Adrenergics|EPINEPHRINE]] 1:10,000 0.01 mg / kg IV /IO
* [[Epinephrine|EPINEPHRINE]] 1:10,000 (0.1mg/ml) 0.01 mg / kg IV /IO
* Repeat [[Adrenergics|EPINEPHRINE]] 1:10,000 0.01 mg / kg every 3 - 5 minutes of continued arrest.
* Repeat [[Epinephrine|EPINEPHRINE]] 1:10,000 (0.1mg/ml) 0.01 mg / kg every 3 - 5 minutes of continued arrest.




Line 20: Line 24:


* If hypovolemia suspected, fluid bolus 20 ml / kg.
* If hypovolemia suspected, fluid bolus 20 ml / kg.
* [[Antiarrhythmics|LIDOCAINE]] 1.0 mg/kg IV / IO.
* [[Amiodarone|AMIODARONE]] 5 mg/kg, IVP or IO - refer to Broselow Tape for patient specific dose.
:'''OR'''
* [[Lidocaine|LIDOCAINE]] 1.0 mg/kg IV / IO.




* DEFIBRILLATION @ 4 J/kg. Continue CPR immediately.
* DEFIBRILLATION @ 6 J/kg. Continue CPR immediately.
* If rhythm converts, follow appropriate Practice Parameters
* If rhythm converts, follow appropriate Practice Parameters




* After 10 minutes, [[Antiarrhythmics|LIDOCAINE]] 1.0 mg/kg IV / IO.
* After 10 minutes, [[Lidocaine|LIDOCAINE]] 1.0 mg/kg IV / IO.
* DEFIBRILLATION @ 4 J/kg. Continue CPR immediately.
* DEFIBRILLATION @ 8 J/kg. Continue CPR immediately.
* If rhythm converts, follow appropriate Practice Parameter
* If rhythm converts, follow appropriate Practice Parameter


'''''If V-Fib converts to a pulse-producing tachycardic rhythm, follow with [[Antiarrhythmics|LIDOCAINE]] boluses IVP. Refer to Broselow Tape for administration based on weight / length.'''''
'''''If V-Fib converts to a pulse-producing tachycardic rhythm, follow with [[Lidocaine|LIDOCAINE]] boluses IVP.'''''


[[Category:Pediatric and Obstetrical]]
[[Category:Pediatric and Obstetrical|0703]]

Latest revision as of 14:38, 24 April 2020

Section 7 - PEDIATRIC / OBSTETRICAL

7.03 PEDIATRIC VENTRICULAR FIBRILLATION /PULSELESS VENTRICULAR TACHYCARDIA

  • Initiate 5 cycles of high quality (30:2) one-rescuer or (15:2) two-rescuer CPR for approximately 2 minutes to allow blood to circulate and continue throughout resuscitation, minimizing interruptions.
  • Maintain rate of between 100-120 compressions per minute.
  • Maintain compression depth of at least 1/3 of the depth of the chest.
  • Allow for complete chest recoil between compressions.
  • Minimize interruptions
  • Assist ventilations with OXYGEN @ 100% via BVM. DO NOT HYPERVENTILATE
  • INTUBATE and establish peripheral IV or IO line as able.
  • DEFIBRILLATION @ 2 J/kg.
    • Proceed to next step only if V-Fib / Pulseless V-Tach persists.
    • If rhythm converts, follow appropriate Practice Parameters.

Refer to Handtevy System for specific medication administration based on weight / length.

  • EPINEPHRINE 1:10,000 (0.1mg/ml) 0.01 mg / kg IV /IO
  • Repeat EPINEPHRINE 1:10,000 (0.1mg/ml) 0.01 mg / kg every 3 - 5 minutes of continued arrest.


  • DEFIBRILLATION @ 4 J/kg. Continue CPR immediately.
  • If rhythm converts, follow appropriate Practice Parameters.


  • If hypovolemia suspected, fluid bolus 20 ml / kg.
  • AMIODARONE 5 mg/kg, IVP or IO - refer to Broselow Tape for patient specific dose.
OR


  • DEFIBRILLATION @ 6 J/kg. Continue CPR immediately.
  • If rhythm converts, follow appropriate Practice Parameters


  • After 10 minutes, LIDOCAINE 1.0 mg/kg IV / IO.
  • DEFIBRILLATION @ 8 J/kg. Continue CPR immediately.
  • If rhythm converts, follow appropriate Practice Parameter

If V-Fib converts to a pulse-producing tachycardic rhythm, follow with LIDOCAINE boluses IVP.

Retrieved from "http://roaddoc.com/scems/index.php?title=Pediatric_Ventricular_Fibrillation_or_Pulseless_Ventricular_Tachycardia&oldid=1536"