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WorksheetsACLS
Total questions: 10
Worksheet time: 5mins
นางสาว A อาชีพ นสพ. ขับรถอยู่ พบว่ามีคนนอนกลางถนน ไม่ขยับตัว
ลงไป check pulse คนไข้
เช็ค scene safety ก่อนลงไป
โทร 1669
ขับรถวนหา AED
คนไข้มาที่ ER หมดสติไม่รู้สึกตัว no pulse
Start CPR and .......
Adenosine 6 mg IV
Adrenaline 1 mg via ETT
Flat line protocol
- Check lead
- Change lead
- Increase amplitude
Defibrillation 200 J
After CPR 2 min
No pulse
EKG show this
.....
Resume CPR
Defibrillation 200 J
Synchronized cardioversion 100 J
Amiodarone 300 mg IV
You defib 200 J and resume CPR,
next 2 min, EKG no change, you give defibrillation 200 J
and .......
Continue CPR with adrenaline 1 mg IV q 3-5 min
Amiodarone 300 mg IV
Amiodarone 150 mg IV
double sequential defibrillation
EKG?
Ventricular fibrillation
Atrial fibrillation
Ventricular tachycardia
Pace rhythm
BP 70/40, HR 180, chest pain
Amiodarone 150 mg IV in 10 min
Synchronize cardioversion start 50 J
Synchronize cardioversion start 120 J
Defibrillation 200 J
Agitation, BP 180/100, PR 180
Lung; fine crepitation both
Amiodarone 150 mg IV in 10 min
Adenosine 6 mg IV double syringe technique
Synchronize cardioversion start 120 J
Propranolol 10 mg oral stat
chest pain, BP 50/40, PR 35, sweating
Adenosine 6 mg IV double syringe technique
on external pacemaker
Atropine 1 mg IV
Levophed drip
No chest pain, no functional class change, BP 120/70
Observe
Atropine 1 mg IV stat
on pacemaker
Drip dopamine
High quality CPR?
Push hard 3 cm depth in adult
Push fast 100-120 /min
Ventilate via ETT q 10 sec
Interruption < 5 sec
