ACLS Flashcards
In the ACLS cardiac arrest algorithm….when can you give the first dose of epinephrine
after the 2nd shock if it is a shockable rhythm
how often can you give epinephrine?
Q3-5 mins
in the cardiac arrest algorithm, when do you give amiodarone?
After the 3rd shock and treat reversible causes
What is the first dose of amiodarone for cardiac arrest?
Amiodarone 300mg
2nd dose: 150 mg
A patient has symptomatic bradyarrhythmia, what do you do next?
Atropine IV 0.5mg
Repeat Q 3-5 minutes
Maximum dose: 3mg
What is the maximum total amount of atropine you can give?
How often can you give atropine?
3mg
Q 3-5 mins
What are 2 infusions that you can use for persistent bradyarrhythmia?
What are their infusion rates?
Dopamine 2-20mcg/kg/min
Epinephrine 2-10mcg/min
You see a patient with Second degree Type II heart block or 3rd degree heart block…what do you do next?
Give Atropine for 2-3 doses…then move to TCP or meds
Usually, atropine is ineffective
Transcutaneous pacing is necessary
or B-adrenergic meds (dopa or epi)
For TCP, set the current milliamperes output ____ above the dose at which consistent capture is observed
2 mA above
what is the recommended synchronized cardioversion dose for a symptomatic narrow regular tachycardia?
50-100 J
When would you consider adenosine for adult tachycardia?
If the rhythm is regular and monomorphic
The patient is also stable
What medication would you give for a stable tachycardia with a wide QRS?
amiodarone 150mg over 10 mins.
Your patient has a wide complex tachycardia and is unstable…what do you do next?
synchronized cardioversion at 100J
your patient has torsades de pointes…what do you do?
Treat as VF
Defibrillate
When do you use unsynchronized shocks?
pulseless
clinical deterioration
