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Pulseless Electrical ActivityAka: Electromechanical Dissociation, Idioventricular Rhythm, Bradyasystolic Rhythm
- See Also
- Causes (Mnemonic: 4H TAPE MD, or 4T+4H)
- Hypovolemia
- Hypoxia
- Hypothermia
- Hyperkalemia
- Hydrogen ion (Acidosis)
- Tension Pneumothorax or Cardiac Tamponade
- Thrombus (Pulmonary Embolus, Myocardial Infarction)
- Toxins or Tablets (Drug Overdose)
- Tricyclic Antidepressant Overdose
- Digitalis Toxicity
- Beta Blocker overdose
- Calcium Channel Blocker overdose
- Pediatric Management
- See Asystole
- Adult Management
- CPR
- Intubation
- IV Access
- Medications
- Epinephrine 1 mg IV push q3-5 minutes
- Atropine 1 mg IV q3-5 min
- Consider for Bradycardia
- Total Dose Maximum: 3 mg
- Assess blood flow
- Doppler ultrasound
- End-tidal CO2
- Echocardiography
- Arterial Line
- Consider causes as above and treat appropriately
- Hyperventilate
- Fluid bolus
- Consider Sodium Bicarbonate 1 mEq/kg
Idioventricular rhythm (C0700363) | |
|---|---|
| Definition (NCI) | Relating to or affecting the cardiac ventricles alone. |
| Concepts | Pathologic Function (T046) |
| English | Idioventricular Rhythm, RHYTHM IDIOVENTRICULAR, Ventricular rhythm |
| Spanish | ritmo idioventricular, ritmo ventricular |
| Parent Concepts | Cardiovascular finding (C0425560), Ventricular arrhythmia (C0085612) |
| Sources | CST, MTH, NCI, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |
