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I work here in the CVICU, I’m Dom RN,BSN,CCRN and a charge RN.♂️
Now this is a Crash Cart, at least one is kept in EVERY unit. This saves lives in an Emergency. ACLS stands for Advanced Cardiac Life Support and is the algorithm used when a Code Blue (cardiopulmonary arrest) /Stroke/Life Threatening Situation arises. ACLS requires you to have knowledge and skills needed for these situations and also mandates you refresh your accreditation every other year. Mandatory for my CV unit. -
I want to talk about what I commonly encounter here in the CVICU more specifically ABNORMAL heart rhythms (introductory post since so extensive). Being a cardiovascular unit we see lots of cardiopulmonary arrests (heart stops, breathing stops), we also deal with situations where we intubate before it becomes life threatening (place an airway). We also deal in the management of treating serious arrhythmias (abnormal heart rhythm) which left untreated can be life threatening. -
Arrhythmias: include, SVT, Afib/AFlutter, VTACH, Vfib, heart blocks, to name a new, these become medical emergencies when they become UNSTABLE: i.e ( symptomatic: low bp, diaphoretic, clammy, labored breathing, unstable vitals) etc. **immediate treatment is necessary when they become unstable.** the lethal ones are vfib & pulseless vtach.
Vfib/pulseless vtach requires immediate defibrillation and cpr while the AED is being set up. This is because there is no circulation during these instances, and the rhythm needs to be shocked to return normalcy and effective heart beats. If not treated and corrected this leads to death. This is immediate/initial treatment.
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