a 4 year old child in cardiac arrest is brought to the emergency department by ambulance....
a 4 year old child in cardiac arrest is brought to the emergency department by ambulance. High-quality CPR is being performed. The cardiac monitor displays the rhythm strip shown here. The estimated weight of the child is 20kg. Which dosage range should you use for initial defibrillation?
Homework Answers
As soon as the defibrillator arrives deliver an unsynchronized shock of 2J/kg.if rythm check after 2hours of CPR reveals Ventricular tachycardia give 4J/kg, then resume compression.
If it is a pulseless Arrest or VT
Defibrillate at 2J/kg to a max 360J or equivalent biphasic energy. Epinephrine 0.01mg/kg IVP/IO 3-5min
Defibrillate at 4J/kg and then defibrillate within 30-60seconds after each medication throughout arrest.
Give 1shock of 4J/kg if using a manual defibrillator. If using an AED, in a child under 8years of age use paediatric attenuation, whenever possible use the adult shock energy(150-200J Biphasic ,360 monophasic)
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