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PEA, treatment Initial treatment Patient recieved Epi, atropine and shocked three times when found at home by paramedics, S/Sx rectal temp may show signs of hypothermia, 33 yr old male status post Pulseless electrical activity secondary to heroin use. Risk factor, treatment Treat Drug overdose MY PATIENT OVERDOSED on HEROIN, treatment Initial treatment initiated CPR and given narcan MY PATIENT, Situations that cause sudden changes in preload or afterload initial insult weakens cardiac contractions, and this situation is exacerbated by worsening acidosis, hypoxia, and increasing vagal tone, treatment reversible causes treating hypovolemia, hypothermia, hypoxia, acidosis, hypokalemia, hyperkalemia, MI, pathophysiology caused by respiratory failure with hypoxia, initial insult weakens cardiac contractions, and this situation is exacerbated by worsening acidosis, hypoxia, and increasing vagal tone This event creates a vicious cycle, causing degeneration of the rhythm and subsequent death of the patient, 33 yr old male status post Pulseless electrical activity secondary to heroin use. treatment