Question

The heart thythm of a client who has experienced cardiac arrest and is receiving cardiopulmonary resusciation...

The heart thythm of a client who has experienced cardiac arrest and is receiving cardiopulmonary resusciation (CPR) deteriorates to ventricular fibrillation. What is the most important action of the nurse?

a.

Administer vasopressin 40 units I.V.

b.

Continue CPR

c.

Defibrillate with 360 joules

d.

Administer 1 mg of epinephrine I.V.
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Answer #1

answer: OPTION C is right answer.

As per 2015 AHA guidelines, whenever we find a shockable rhythm we can give defibrillation first, followed by antiarrhythmic drugs.

option B- if the defibrillation is not successive need to continue with CPR. so the option is wrong

option A: Vasopressin offers no advantage as a substitute for epinephrine in cardiac arrest.The removal of vasopressin has been noted in the Adult Cardiac Arrest Algorithm (2015 update).so the option is wrong

option D: epinephrine is given in the absence of shockable rhythm.

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