ACLS-OB. A Maternal Code Are You Ready? Angie Rodriguez ARNP, CS, MSN, CNM, RNC-OB Kerry Foligno RN, BSN, CLC, CPST. ACLS-OB. Advanced Cardiac Life Support with an Obstetric Focus. Why ACLS-OB. Based on AHA guidelines 2010
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A Maternal Code
Are You Ready?
Angie Rodriguez ARNP, CS, MSN, CNM, RNC-OB
Kerry Foligno RN, BSN, CLC, CPST
Advanced Cardiac Life Support with an Obstetric Focus
symptomatic, life threatening
or even fatal.
What is the Rhythm …but
How is this rhythm affecting
the patient clinically and how
are we going to treat the
1. Lethal (pulseless) rhythms
2. Non-lethal (with a pulse) rhythms
Ventricular Tachycardia (Pulseless)
No organized electrical activity
oronly after perimortem delivery
CHECK LEADS, CHECK PULSE
Repeat every 3 to 5 minutes
(with a pulse)
Stable or Unstable ??????????
Narrow Complex – Regular
If no conversion then give
Adenosine 12 mg IV rapid push,
Review for most frequent causes
relative contraindications-pregnancy and immediate postpartum due to increased risk of bleeding
Half life- 40 days
Avoid in pregnancy- fetal hypothyroidism
Use lidocaine- if 24-42 weeks
Ok for gestational age less than 24 weeks or postpartum
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