ACLS review: Pulseless Electrical Activity- part 9

Tablets: Digoxin

·         Toxicity many cause a variety of dysrhythmias

·         Rx Digibind follow normogram in PDR or drug insert for correct dosing information

Tablets: Cocaine

·         Elevates blood pressure

·         Increases cardiac contractility

·         Decreases coronary blood flow

·         Increases coronary vasoconstriction

·         Increases myocardial oxygen consumption

Tablets: Cocaine- Treatment

·         MONA

·         Benzodiazepines- modulates stimulatory effects of cocaine on CNS

·         Avoid blockers- increases coronary vasoconstriction

·         VT/VF follow ACLS algorithm

Tamponade, cardiac

·         Hx of trauma, chest malignancy

·         Muffled heart sounds

·         Tx: pericardialcentesis


Reviewed 2/28/16