Do you give amiodarone for PEA?
Do you give amiodarone for PEA?
In summary, amiodarone may be administered for VF or pulseless VT unresponsive to CPR, shock, and a vasopressor (Class IIb).
Is PEA worse than asystole?
Conclusions: Countershock of prolonged VF followed by a nonperfusing rhythm has a worse prognosis than primary asystole or PEA and may be related to myocardial electrical injury.
Do you use defibrillator on PEA?
Rhythms that are not amenable to shock include pulseless electrical activity (PEA) and asystole. In these cases, identifying primary causation, performing good CPR, and administering epinephrine are the only tools you have to resuscitate the patient.
Is asystole the same as PEA?
Pulseless electrical activity (PEA) and asystole are related cardiac rhythms in that they are both life-threatening and unshockable cardiac rhythms. Asystole is a flat-line ECG (Figure 27)….Rules for Asystole and PEA.
| PEA Regularity | Any rhythm including a flat line (asystole). |
|---|---|
| P Wave | Possible P wave or none detectable. |
Is PEA secondary to Hypoxaemia?
Transient coronary occlusion usually does not cause PEA, unless hypotension or other arrhythmias are involved. Hypoxia secondary to respiratory failure is probably the most common cause of PEA, with respiratory insufficiency accompanying 40-50% of PEA cases.
How is asystole and PEA treated?
ACLS Cardiac Arrest PEA and Asystole Algorithm
- Perform the initial assessment.
- If the patient is in asystole or PEA, this is NOT a shockable rhythm.
- Continue high-quality CPR for 2 minutes (while others are attempting to establish IV or IO access)
- Give epinephrine 1 mg as soon as possible and every 3-5 minutes.
What drug is given for PEA?
Epinephrine should be administered in 1-mg doses intravenously/intraosseously (IV/IO) every 3-5 minutes during pulseless electrical activity (PEA) arrest.