ACLS review: asystole part 3
Peripheral IV Drug Delivery
· Adults peak drug concentrations are lower and circulation times longer
· Does not require interruption of CPR
· Administer the drug by bolus injection and follow with a 20-mL bolus of IV fluid
· Elevate the extremity for 10 to 20 seconds to facilitate drug delivery to the central circulation.
Endotracheal Drug Delivery
· Results in lower blood concentrations than the same dose given intravascularly.
· Give 2 to 2½ times the recommended IV dose.
· Providers should dilute the recommended dose in 5 to 10 ml of water or normal saline and inject the drug directly into the endotracheal tube
Intraosseous Drug Delivery
· Enables drug delivery similar to that achieved by peripheral venous access at comparable doses.
· Is safe and effective for fluid resuscitation, drug delivery, and blood sampling
· Is attainable in all age groups.
Central IV Drug Delivery
· Peak drug concentrations are higher and drug circulation times shorter
· Central line placement can interrupt CPR.
· Central line extending into the superior vena cava can be used to monitor ScvO2 and estimate CPP during CPR, both of which are predictive of ROSC
Reviewed 2/28/16
Reviewed 2/28/16
Comments
Post a Comment