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A patient is in cardiac arrest. High-quality chest compressions are being given. The patient is intubated, and an IV has been started. The rhythm is asystole. What is the first drug/dose to administer?

- Dopamine 2 to 20 mcg/kg pe minute IV/IO
- Atropine 0.5 mg IV/IO
- Atropine 1 mg IV/IO
- Epinephrine 1 mg IV/IO

User Adzenith
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1 Answer

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Final answer:

The first drug to administer in the case of asystole during cardiac arrest is Epinephrine 1 mg IV/IO, following the latest ACLS guidelines which highlight its importance alongside continuous high-quality chest compressions. correct answer is - Epinephrine 1 mg IV/IO .

Step-by-step explanation:

In the scenario of a patient in cardiac arrest with asystole, the first drug and dose to administer is Epinephrine 1 mg IV/IO. Formerly, atropine was used in such cases, but current guidelines recommend against its use in asystole or non-shockable cardiac arrest rhythms. Epinephrine, given at a dose of 1 mg intravenously or intraosseously every 3-5 minutes, is aimed at improving coronary and cerebral perfusion during resuscitation by constricting blood vessels and increasing blood flow to these critical organs.

It is essential to note that drug administration is only one component of the advanced cardiac life support (ACLS) protocol. This protocol also emphasizes the importance of continued high-quality chest compressions and timely defibrillation if indicated. Medical professionals should follow the latest ACLS guidelines to ensure the best possible outcomes in cardiac arrest situations.

User Trevorj
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