Dr.huda

👩🏻‍⚕️ Sudden cardiac arrest is the abrupt loss of heart function, breathing and consciousness. The condition usually results from a problem with your heart's electrical system, which disrupts your heart's pumping action and stops blood flow to your body.

🧐symptoms:

✔️Sudden collapse
✔️No pulse
✔️No breathing
✔️Loss of consciousness

🔎 What Causes Asystole ?!
♦️ Ventricular fibrillation
♦️hypoxia
♦️ Hypovolemia
♦️hypothermia
♦️hypo/hyperkalemia
♦️ Tension pneumothorax
♦️ Tamponade
♦️ Toxins
♦️ Thrombosis

🚑 Can You Reverse Asystole ?

➡️ Cardiopulmonary resuscitation (CPR)
➡️epinephrine

👨‍⚕️confirm diagnosis by two of three criteria:
1.skin manifestation
2.hypotension
3.respiratory difficulty

➡️remove suspected factors

🚑 give 100% O2
🚑iv line
🚑cardiac monitoring

♦️if upper airway edema present (swollen lips , tongue, epiglottis..) then emergency intubation or surgical airway

💊 drugs
1.epinephrine im repeated every 5min (cornerstone)
2.all ermine amp
3.HC vial
4.ranitidine amp
5.ventoline neb

👩🏻‍⚕️cardiac arrest ➡️ CPR
👩🏻‍⚕️hypotension ➡️1_2 L saline

🔸observed for 4_6 hours

(shockable rhythms)

👩🏼‍⚕️confirm the diagnosis in any pt
1.unconscious
2.not breathing
3.undetected major arterial pulses

➡️focus history (age ..past medical history..current medication..chest pain )

➡️obtain urgent ECG trace (if shockable rhythm: ventricular fibrillation, pulseless ventricular tachycardia)

1.open airway by head tilt chin lift
2.remove any visible obstruction from mouth
3.prepare important medications
5.Oxygen supplementation
6.defibrillator should be ready

♦️give DC of 360 j for monophasic device.200 j for biphasic device

♦️CPR after shock for 2 min then check the rhythm if it is shockable give another shock then CPR

♦️after 3 shock give (epinephrine 1mg iv every 3-5 min or vasopressin 40 iu iv which can replace the first or second dose of epinephrine or amiodarone 300 mg bolus iv with subsequent doses of 150 mg iv

💊push 20ml of 0.9 saline after each drug

👩🏻‍⚕️continue CPR till you notice any signs of return of spontaneous circulation

🤔otherwise stop CPR after 20min then check for signs of death and declare death

🔎 Hypoglycemia is a condition in which your blood sugar (glucose) level is lower than normal. Glucose is your body's main energy source.

🔎 a fasting blood sugar of 70 milligrams per deciliter (mg/dL), or 3.9 millimoles per liter (mmol/L), or below should serve as an alert for hypoglycemia

👩🏻‍⚕️symptoms:

An irregular or fast heartbeat
Fatigue
Pale skin
Shakiness
Anxiety
Sweating
Hunger
Irritability
Tingling or numbness of the lips, tongue or cheek

👩🏻‍⚕️ As hypoglycemia worsens, signs and symptoms can include:
1. Confusion, abnormal behavior or both, such as the inability to complete routine tasks
2. Visual disturbances, such as blurred vision
3. Seizures
4. Loss of consciousness

💣 Complications :

✔️Seizure
✔️Loss of consciousness
✔️Death

💊treatment:
1. Eat or drink 15 to 20 grams of fast-acting carbohydrates
2. Recheck blood sugar levels 15 minutes after treatment.
3. Have a snack or meal
4. glucagon injection or intravenous glucose.