hi guyssss enjoying three days break? i did!!! ok now back to reality ACLS is coming and pooooffff!!! if we get thru this we will be considered all through as we are taking AE course (obviously) arghhhhhhhh i just wana cry nowwwww.... remember what will u do in emergency cardiac patientssss...... ok follow me... food for thoughtssss!!!
Shockable waves are ----- PULSELESS VENTRICULAR TACHYCARDIA & VENTRICULAR FIBRILLATION.
in any emergency situation never forget DRABC!!! Danger, Respond, Airway, Breathing, Circulation.... whatever the situation might....
ok so u call for help if no respond from the patient...call 991 or alert medical team on call on that day since ur in hospital....
again what do u mean by NAVVEL? INGAT SAJA PUSAT..HEHE ok if IV access cannot be establish.... 6 medications can get through via ETT tube...Naloxone, Atropine, Ventolin, Verampamil, Epinephrine(adrenaline) and Lignocaine.
so after u call for help....do 30 chest compressions with 2 rescue breathes via ambu bag dont forget airway or if u can do insert ETT tube...which u have to master in ACLS....attempt AED of 360 J(mono) or 150-200 J(bi)...
masih lagi VF or pulseless VT?? start 30 chest compressions and 2 breathes....give IV adrenaline 1mg 1: 10 000 dilution of 9 mls saline and 1 mls adrenaline then after 1-2 mins compressions...do another shock of 360 J... meaning finish 5 chest compressions tu baru bagi shock...
then on and on .....till bila? sampai dapat almost near normal wave or the doctor call it off!!!
Therefore; i can get through this ....we all can!!! May Allah bless post basic AE students 2008!!!
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