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The Effects of Epinephrine During a Pulseless Arrest  Drug Therapy: Epinephrine ·          Epinephrine 1mg (1:10,000 solution) IV/IO q3-5min ·          ETT dose (1:1000 solution) 2mg diluted in 10cc of NS ·          Increases systemic vascular resistance (vasoconstriction) ·          Increase coronary and cerebral perfusion pressures during CPR ·          Escalating or high doses without demonstrable benefit ·          After drug delivery and approximately 5 cycles (or about 2 minutes) of CPR then recheck the rhythm  Algorithms  and dosages ·         Pulseless VF/VT   Epinephrine 1mg (1:10,000 solution) IV/IO q3-5min ·     Asystole:   Epinephrine 1mg (1:10,000 solution) I...

Post Arrest Goals Optimize the patient’s ventilation status ·          Avoid excessive ventilations ·          Oxygenate 10-12 breaths per minute ·          Target PETCO2 35-40 mm Hg ·          Titrate FIO2 to keep spo2 >94% ·          Avoid using ties that pass circumferentially around the patient’s neck ·          Elevate the head of the bed 30 to reduce cerebral edema and aspiration ·          Correct placement of airway monitored using waveform ·          Oxygenation monitored continuously with pulse oximetry. ·          Pao2/FIO2 ratio to follow acute lung injury ·      ...