B. Glucose is usually administered by the EMT via the intravenous route. What is the route of administration for the EpiPen auto-injector? Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e. g., in search results, to enrich docs, and more. Unfinished tasks keep piling up? NURSMISC - Which Of The Following Medication Routes Would Be The Most Appropriate To Use In | Course Hero. Despite widespread and long-standing use, no drug or drug combination has been definitively shown to increase neurologically intact survival to hospital discharge in patients with cardiac arrest. It should be given early in nonshockable rhythms, because recent evidence suggests survival is increased when it is given in the first 5 minutes of resuscitation, or for ventricular tachycardia Ventricular Tachycardia (VT) Ventricular tachycardia is ≥ 3 consecutive ventricular beats at a rate ≥ 120 beats/minute. While assisting a paramedic in the attempted resuscitation of a 55-year-old male in cardiac arrest, you should expect the paramedic to: A. administer drugs via the IV route to achieve the fastest effect. Blood pressure support includes. Which of the following is an example of a generic drug?
There is no persuasive proof that it increases survival to hospital discharge. The Human Body in Health and Disease. While assisting a paramedic in the attempted resuscitation first hour. Prompt defibrillation is the only intervention for cardiac arrest, other than high-quality CPR, that has been shown to improve survival; however, the success of defibrillation is time dependent, with about a 10% decline in success after each minute of VF (or pulseless VT). For that reason, a person with neonatal resuscitation... read more and Cardiopulmonary Resuscitation in Infants and Children Cardiopulmonary Resuscitation (CPR) in Infants and Children Despite the use of cardiopulmonary resuscitation (CPR), mortality rates for out-of-hospital cardiac arrest are about 90% for infants and children. Despite some laboratory evidence to the contrary, it is not recommended to delay defibrillation to administer a period of chest compressions.
Postresuscitation laboratory studies include arterial blood gases (ABG), complete blood count (CBC), and blood chemistries, including electrolytes, glucose, BUN (blood urea nitrogen), creatinine, and cardiac markers. C. EMT-administered. Gary A. Thibodeau, Kevin T. Patton. B. unpredictable effect. While assisting a paramedic in the attempted resuscitation program. Symptoms range from skin burns to damage to internal organs and other soft tissues, cardiac arrhythmias... read more, rescuers must be certain that the patient is no longer in contact with the electrical source to avoid shocking themselves. If cervical spine injury is suspected, jaw thrust, but not head tilt and chin lift, is advised. Clinical Reasoning Cases in Nursing. Defibrillation at the same energy level or higher is attempted 1 to 2 minutes after each drug administration. It is also of potential value if VT or VF recurs after successful defibrillation; a lower dose is given over 10 minutes followed by a continuous infusion. Postresuscitative care references. When qualified rescuers are present, an advanced airway (endotracheal tube or supraglottic airway) is placed without interruption of chest compressions after initial CPR and defibrillation attempts, as described under Airway Establishment and Control Airway Establishment and Control Airway management consists of Clearing the upper airway Maintaining an open air passage with a mechanical device Sometimes assisting respirations (See also Overview of Respiratory Arrest. ) You carry epinephrine auto-injectors on your ambulance and have been trained and approved by your medical director to administer them. He has prescribed nitroglycerin but states that he has not taken any. You must be willing to put in the effort and master certain abilities for the job.
2 The proportion of expenditure on each item should be calculated with respect. D. contact medical control and apprise him or her of what you did. Read more (VF) refractory to two shocks. Sodium bicarbonate is no longer recommended unless cardiac arrest is caused by hyperkalemia, severe metabolic acidosis, or tricyclic antidepressant overdose. However, in the unlikely case of a lack of epinephrine during CPR, vasopressin may be substituted. For health care professionals, bag-valve-mask ventilation should be started as early as possible, but this should not delay initiation of compressions or defibrillation. Currently, there is no evidence that any specific temperature within this range is superior, but it is imperative to avoid hyperthermia. Give those who are ill or injured first aid care or life support services. While assisting a paramedic in the attempted resuscitation in the pediatric. To maximize the likelihood of a good outcome, clinicians must provide good supportive care (eg, manage blood pressure, temperature, and cardiac rhythm) and treat underlying conditions, particularly acute coronary syndromes Overview of Acute Coronary Syndromes (ACS) Acute coronary syndromes result from acute obstruction of a coronary artery. Pharmacology and the Nursing Process. MAP is best measured with an intra-arterial catheter.