Page 106 - AACN Essentials of Critical-Care Nursing Pocket Handbook, Second Edition

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• Prepare for transcutaneous pacing; Use without delay for high-degree block (type II second-degree block or third-degree AV block) • Consider atropine 0.5 mg IV while awaiting pacer; may repeat to a total dose of 3 mg; if ineffecti

4 begin pacing • pacing ineffective 5

Perfusion Dec 13, 2005;112[24 suppl]:IV68. http://circ.ahajournals.org/content/vol112/24_suppl/. Accessed July 15, 2009.) Ab-
Poor (Used with permission from 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovas-

Adequate Perfusion Tamponade, cardiac Tension pneumothorax Thrombosis (coronary or pulmonary) Trauma (hypovolemia, increased ICP)

Reminders • If pulseless arrest develops, go to pulseless arrest algorithm Toxins – – – – –

Observe/Monitor • Search for and treat possible contributing factors: Hydrogen ion (acidosis) Hypo-/hyperkalemia breviations: IV, intravenous; mcg, micrograms.

4A Hypovolemia – Hypoxia – – – Hypoglycemia – Hypothermia – cular Care. Circulation.