ACLS Flashcards
1st drug after unsuccessful defibrillation
Epinephrine every 3-5 min followed by 20ml IV flush
Can replace first or second dose of epinephrine
vasopressin
Main anti-arrhythmic for v tach/ v fib after shocked 3 times and epinephrine failed
Amiodarone
ADRs of amiodarone
Vasodilation, hypotension, prolonged QT, has long half life, can get tremor and peripheral neuropathy, blue gray skin discoloration
Lidocaine cautions
Caution in heart block, WPW, CHF, hypovolemia, respiratory depression and shock
Magnesium sulfate indication
Torsades or hypomagnesemia
Caution for magnesium sulfate
Renal failure and can cause hypotension if administered rapidly
Used for acidosis and hyperkalemia and some drug overdoses
Sodium bicarbonate
H’s and T’s
Hypovolemia Hypoxia H ion Hyper/hypokalemia Hypothermia Toxins Tamponade Tension pneumothorax Thrombosis Trauma
Drugs for PEA
Epinephrine or vasopressin Other options: High dose epinephrine Sodium bicarbonate Dextrose Naloxone IV fluid Dopamine drip
Can start immediately in asystole
TCP/IP
Drugs for asystole
Epinephrine or vasopressin Others: High dose epinephrine Continued TCP Sodium bicarbonate IV Continued defibrilations Dextrose IV Naloxone IV
Treatment for symptomatic bradycardia
TCP Atropine Epinephrine Dopamine Pacemaker if heart block
Asymptomatic bradycardia treatment
Transvenous pacemaker if AV block
Observe if no AV block
Treatment for unstable SVT
Synchronized cardioversion
