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A patient whose initial rhytm was VF ,after delivering shock and 2 minutes of CPR rhythm was changed to VT,then u should ,check pulse or shock

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Question ajoutée par sijo thekkekudyil , EMERGENCY MEDICAL SERVICE STAFF NURSE , MIMS HOSPITAL KOTTAKKAL
Date de publication: 2014/09/13
marwan abdalaziz
par marwan abdalaziz , Clinic Assistant Manager , International Medical Corps ( IMC )

  1. Begin5 cycles of CPR (approximately2 minutes) immediately after the first shock. Each cycle contains30 chest compressions followed by2 breaths.
  2. Check the patient's rhythm in less than10 seconds. RhythmConditionActionIf non-shockable rhythm is present AND QRS complexes appear regular and narrow Check for a pulse If non-shockable rhythm is present WITH no pulse Follow treatment for PEA or asystole If a shockable rhythm is present   Continue CPR while defibrillator is charging

ventricular tachycardia is a shockable rythym then,check pules and the patient needs to be shocked. manage the H's and T's

EHTESHAM SHIBLI
par EHTESHAM SHIBLI , Medical Officer Academic , Symbiosis Institute of Health Sciences

Check Pulse,

If pulselessVT/VF follow cardiac arrest protocol.

Jennylyn Din
par Jennylyn Din , Staff Nurse , Health Premium Home healthcare services

I will check for the pulse. I should assess whether the patient has pulse.

ANU MATHEW
par ANU MATHEW , Staff Nurse

pulse disappears with the onset of VF.note the complete absence of QRScomplexes.clinical response to attemted DEFIBRILATION,ADRENERGIC AGENTS or antiarrythmics.a rhytm pattern is difficult to distinguishfrom that of ASYSTOLE

John Carlo Domingo
par John Carlo Domingo , Nurse- Emergency , Mustasharak Medical Group

Check Pulse, If pulseless VT, Give the second shock, 2mins CPR, Epineprine 1mg IV, Consider advance airway capnography/ tracheal intubation, then check the rhythm.

If the rhythm is still pVT/VF, Give the third shock, 2mins CPR, Amiodarone 300mg IV, then check the rythm.

 

Jimson Dian
par Jimson Dian , Staff Nurse , Majid Al Futtaim Healthcare (City Centre Clinic

1. If the rhytm change to VT after delivering 1 shock and 2 minutes of cpr then you should check for pulse.

A) If there is no pulse (PVT) deliver 1 shock then continue CPR.

B) if there is pulse, assess the patients Airway, Breathing and Circulation. Check for hypotension, altered mental status, chest discomfort, signs of shock and heart failure.

Bruce Kelly Mamaril
par Bruce Kelly Mamaril , Staff nurse , Baypointe hospital and medical center

check pulse first because there's a change in rhythm , if no pulse then do CPR immediately.

Von Ranier Monoy
par Von Ranier Monoy , Staff Nurse - Team Leader - CRN , Sanad Hospital

Check the carotid oulse, monitor the cardiac rhythm continue CPR and prepaare for possible defibrillation when condition becomes worse.

Reeja Thomas
par Reeja Thomas , Clinical Nurse Educator , KIMS HOSPITAL, TRIVANDRUM,

for VF & VT, shock must be given

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