Pulseless V Fib Treatment

Pulseless ventricular tachycardia is treated using the left branch of the cardiac arrest algorithm.

Pulseless v fib treatment. Fast 100 beats min or slow. Pulseless v tach is when the ventricles of the heart are contracting very fast very weakly and not providing sufficient blood to the body. Epinephrine is the first drug given and may be repeated every 3 to 5 minutes. The emergency response system has been activated.

For treatment purposes pulseless vt is treated the same as ventricular fibrillation the pulseless arrest algorithm follows after the primary survey has already been conducted. If your ventricular fibrillation was caused by a heart attack this procedure may reduce your risk of future episodes of ventricular fibrillation. This procedure is for the treatment of severe coronary artery disease. If the patient remains in ventricular fibrillation pharmacological treatment should begin.

The vasopressor that is used for the treatment of vf pulseless vt is epinephrine. Defibrillation and the shock. Acls responses to vf and pulseless vt within a hospital will likely be conducted using a cardiac monitor and a manual defibrillator. Ventricular fibrillation is a shockable rhythms and is treated in a similarly to ventricular tachycardia vt.

Any organized rhythm without detectable pulse is pea acls rhythms for the acls algorithms 255 3. Epinephrine is primarily used for its vasoconstrictive effects. Many tachyarrhythmias of a rate 150 will deteriorate into pulselessness if timely treatment is not given. Pea pulseless electrical activity defining criteria per ecg rhythm displays organized electrical activity not vf pulseless vt seldom as organized as normal sinus rhythm can be narrow qrs 0 10 mm or wide qrs 0 12 mm.

The treatment of such an arrhythmia is included in the acls pulseless arrest algorithm. Rhythm checks should be performed after 5 cycles of cpr. Coronary angioplasty and stent placement. Vasoconstriction is important during cpr because it will help increase blood flow to the brain and heart.

If epinephrine is not effective the next medication in the algorithm is amiodarone 300 mg. Click below to view the cardiac arrest algorithm diagram. It opens blocked coronary arteries letting blood flow more freely to your heart. V fib is when the ventricles are basically quivering and again providing little or no blood to the body.

Thus the acls provider must read and analyze the rhythm. Shocks should only be delivered for vf and pulseless vt. The pulseless arrest algorithm has been established as the best practice in treating ventricular fibrillation. Treatment february 1st 2019 cardiac arrest vf pulseless vt 10 053 cardiac arrest v fib pulseless vt 10 053 notes precautions.

If the initial rhythm is torsades de pointes give magnesium sulfate 1 2 grams iv io. If a medical provider recognizes these rhythms it is important to be able to treat them effectively.