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Critically Ill Exam 2 > ACLS > Flashcards

ACLS Flashcards

1
Q

What are the 2 non shockable rhythms?

A
  1. Pulseless electrical activity
  2. Asystole
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2
Q

What are the 2 shockable rhythms?

A
  1. Ventricular tachycardia
  2. Ventricular Fibrillation
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3
Q

What are the 3 medications used for VT/VF?

A
  1. Epinephrine
  2. Amiodarone
  3. Lidocaine
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4
Q

What medications are used for PEA/Asystole?

A

Epinephrine

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5
Q

What dose of epinephrine is used for ACLS?

A

1 mg IV/IO every 3-5 minutes

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6
Q

What are the two doses that are used for amiodarone in ACLS?

A

Dose 1: 300 mg IV/IO push
Dose 2: 150 mg IV/IO push

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7
Q

What dose of lidocaine is used?

A

1-1.5 mg/kg

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8
Q

What are 4 adjunctive medications?

A
  1. Magnesium sulfate
  2. Dextrose
  3. Calcium chloride
  4. Sodium bicarbonate
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9
Q

What medication can be used for torsades de pointe?

A

Magnesium sulfate

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10
Q

What medications can be used to treat hypoglycemia?

A

Dextrose

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11
Q

What is calcium chloride used to treat?

A

Hypo/hyperkalemia

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12
Q

What medications can treat severe acidosis, toxidromes, hyperkalemia?

A

Sodium bicarbonate

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13
Q

After you start CPR and the rhythm isn’t shockable what should be done next?

A

Epinephrine is given ASAP

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14
Q

After epinephrine is given for VT/VF what agents should be used next?

A

Amiodarone or lidocaine

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15
Q

What are the 5 H’s (reversible factors)?

A
  1. Hypovolemia
  2. Hypoxia
  3. Hydrogen ion
  4. Hypo/hyperkalemia
  5. Hypothermia
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16
Q

What are the 5 T’s (reversible factors)?

A
  1. Tension pneumothorax
  2. Tamponade, Cardiac
  3. Toxins
  4. Thrombosis, pulmonary
  5. Thrombosis, coronary
17
Q

If there’s no signs of return of spontaneous circulation (ROSC) what hemodynamic parameters do you look for?

A
  1. Systolic BP >90
  2. MAP >65
  3. Temp. 32-36°C
18
Q

What are 5 causes of bradycardia?

A
  1. Electrolyte abnormalities
  2. Acute coronary syndrome
  3. Toxidromes
  4. Hypothermia
  5. Hypothyroid
19
Q

When should you treat bradycardia?

A

If symptomatic

20
Q

What is first line treatment for bradycardia?

A

Atropine

21
Q

What are the doses of atropine?

A

Dose 1: 1 mg bolus
Repeat every 3-5 minutes
Max: 3 mg

22
Q

What should be used after atropine is ineffective in bradycardia?

A
  1. Transcutaneous pacing
  2. Dopamine infusion
  3. Epinephrine infusion
23
Q

When should you treat tachycardia?

A

When it’s both symptomatic and asymptomatic

24
Q

If a patient has symptomatic tachycardia what should be done?

A

Synchronized cardioversion

25
Q

If a patient has symptomatic tachycardia with a wide QRS what should be used for treatment first?

A

Vagal maneuvers

26
Q

If a patient has asymptomatic tachycardia without a wide QRS what should be used for treatment second?

A

Adenosine

27
Q

What dose of adenosine is used for tachycardia?

A

Dose 1: 6 mg
Dose 2: 12 mg

28
Q

If a patient has asymptomatic tachycardia with a wide QRS what should be used for treatment?

A

Consider antiarrhythmics

29
Q

What are the 3 antiarrhymics used for tachycardia?

A
  1. Procainamide
  2. Amiodarone
  3. Sotalol
30
Q

What is the dose of amiodarone used for tachycardia?

A

150 mg over 10 minutes. Followed by a maintenance infusion of 1 mg/min for the first 6 hours

Critically Ill Exam 2 (7 decks)

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