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ACLS > ACLS ... > Flashcards

ACLS ... Flashcards

1
Q 
Epinephrine Dose (Adult)
Epi Interval:
A

1 mg IV, 2 mg ETT

Q3-5 minutes

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2
Q

Amiodarone Dosing (Adult) - Cardiac Arrest

A

300 mg then 150 mg

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3
Q

Lidocaine: Adult Cardiac Arrest

A

1-1.5 mg/kg IV ~~ 100mg
Then
0.5-0.75 mg/kg Q5-10
Max 3mg/kg

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4
Q 
Bradycardia:
Atropine Dosing (adult)
A

0.5mg
Q3-5min
Max 3mg

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5
Q

Bradycardia:

Dopamine (adult) infusion range

A

2-10mcg/kg/min

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6
Q 
Bradycardia:
Epinephrine Infusion (adult)
A

2-10 mcg/min

No per kg infusion rate in adult

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7
Q

Amiodarone Dosing Adult Tachycardia (w Pulse) (SVT)

A

150 mg over 10 minutes
Then
Infusion 1 mg/min for 6 hours

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8
Q

Adenosine for Adult Tachycardia (w Pulse)

A

Used for SVT: Narrow regular, monomorphic tachycardia

6 mg IVpush
Then 12mg IV push

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9
Q

Tachycardia (w Pulse)

Adult synchronized cardioversion Energy:

A

Narrow Regular: 50-100 J

Narrow Irregular: 120-200 J

Wide Regular: 100 J

Wide Irregular: Defibrillation Doses, Consider dropping sync. Consider Consultation

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10
Q

Pediatric Defibrillation Energies

A

2 J/kg
Then
4 J/kg

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11
Q

Epinephrine Doses (pediatric Arrest)

A

0.01 mg/kg IV

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12
Q

Amiodarone (Pediatric Arrest Dose)

A

5 mg/kg IV

Max 15 mg/kg or 300

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13
Q

Lidocaine (Pediatric Arrest dose)

A

1 mg/kg IV
Infusion 20-50 mcg/kg/min
superior to amiodarone for for refractory shock

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14
Q

Magnesium

Pediatric Arrest Dose

A

25-50mg/kg

For Torsades de Pointes

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15
Q

Adenosine

(Pediatric Dosing) - SVT

A

0.1mg/kg
Then
0.2mg/kg second dose

Max 6/12 mg

Flush

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16
Q

Amiodarone Pediatric Pulseless VT VF

A

5mg/kg

Up to 15mg/kg or 300mg MAX

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17
Q

Amiodarone indication:

A

Pulseless VT, VF

ventricular arrhythmias-SVT

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18
Q

Atropine (Pediatric Bradycardia)

A

0.02mg/kg q5min
Max 1 mg for child

X2 for ETT

Do not give less than 0.1mg doses (no minimum in 2016 PALS)

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19
Q

CaCl (Pediatric ACLS)

A

20mg/kg
Max 2g
Hypocalcemia, Hypokalemia, Hypermagnesium

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19
Q

Atropine dose leading to paradoxical bradycardia

A

Less than 0.1mg dose

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21
Q

Dopamine (Pediatric)

A

1-20 mcg/kg

For hypotension

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22
Q

Epinephrine (Pediatric Hypotension)

A

0.1 - 1 mg/kg/min

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23
Q

Epinephrine (Pediatric Anaphylaxis)

A

0.01 mg/kg q20min

24
Q

Epinephrine (Pediatric Arrest)

A

0.01 mg/kg

25
Q

Naloxone (Pediatric)

Full reversal dosing

A

Under 5 yrs or 20 Kg == 0.1 mg/kg

Over 5 yrs or 20 Kg == 2 mg

25
Q

Dobutamine indication:

A

Beta only, no peripheral effect

Systolic heart failure

26
Q

Bicarbonate (Pediatric)

A

Arrest: 1 mEq/kg

Metabolic Acidosis = Base deficit * wt * 0.3

28
Q

Dobutamine - Pediatric Dosing

A

2.5-15 mcg/kg/min

For systolic heart failure

29
Q

Dobutamine pediatric dose

A

2.5-15 mcg/kg/min

30
Q

Naloxone pediatric dose

A

0.1mg/kg full reversal <5, or <20kg

2mg if over the above

31
Q

Adult compression ventilation ratio:

A

30:2

Does not change with 2 rescuers

32
Q

Child 1 rescuer compression ventilation ratio

A

30:2

33
Q

Child 2 rescuer ventilation compression ratio

A

15:2

34
Q

Magnesium adult torsades

A

1-2 g IV

35
Q

Amiodarone (adult) for unstable tachdysrhytmia (not arrest)

A

150mg over 10 min
Then
1mg/min

36
Q

Epinephrine Dose: anaphylaxis

A

10-100 mcg initial dose.
Dilute to either 10 or 100 mcg/mL
Staff suggests Bolus >50 for HoTN

37
Q

Epinephrine Pediatric Anaphylaxis

A

IM: 10 mcg/kg/dose max 300 mcg/dose
IV: 1-10 mcg/kg
Infusion: 0.02-0.2 mcg/kg/min

38
Q

Anaphylaxis H1 antagonist:

Adult

A

Diphenhydramine 25-50mg IV

39
Q

Anaphylaxis H2 antagonist:

Adult

A

Ranitidine 50mg IV

40
Q

Anaphylaxis Steroid:

Adult

A

Methylprednisone

125 mg

41
Q

Anaphylaxis interventions

A

On hand vasopressors
100% O2
IV Bolus

Declare emergency
Remove trigger

Control the airway

Epinephrine
Epinephrine infusion
Salbutamol
H1-H2
Steroids for biphasic reaction

ICU

42
Q

Esmolol for Rate Control

A

0.5mg/kg over 1 min

Infusion 50 mcg/kg/min

43
Q

Metoprolol for Rate Control

A

1-2.5 mg

Can repeat second dose after 2.5 minutes

44
Q

Dilitazem for Rate Control

A

5-10 mg IV over 2 ,imbues
Q20 minutes
Slower onset

45
Q

PALS Infant and Children Fluid Bolus

A

20 mL/kg

46
Q

Atropine for Pre-Intubation

A

0.02 mg/kg with no minimum

47
Q

Verapamil dosing Pediatric SVT

A

0.1-0.3 mg/kg
Can be considered in older children
Do not use in infants without expert consultation

48
Q

Pediatric SVT: Carioversion Energy

A

Start 0.5-1 J/kg increasing to 2 J/Kg

Max 10 J/kg or adult limit

49
Q

Amiodarone Pediatric SVT

A

5 mg/kg IV/IO over 20-60 minutes
if other methods ineffective
Consultation

50
Q

Wide Complex Tachycardia QRS criteria

A

> 0.09 seconds

51
Q

4 Phases of Cardiac Arrest (PALS)

A

Pre Arrest
No-Flow
Low-Flow
Post-Resuscitation

52
Q

Pediatric CPR for bradycardia: Rate Criteria

A

<60 BPM with poor perfusion

Ensure good oxygenation and ventilation

53
Q

Epinephrine Pediatric Dosing Short Cut

A

1 mL of premix per 10kg

1:10 000

54
Q

HR differentiation of Sinus vs SVT (Pediatric)

A

Infants >220
Children >180
with compatible history

55
Q

Procainamide Pediatric SVT dosing

A

15 mg/kg over 30-60 minutes
Expert Consultation
Do not give with Amiodarone

56
Q

Pediatric Urine Output target

A

1 mL/kg/h

57
Q

Pediatric Hypoglycemia treatment

A

Newborn: D10W 5-10 mL/kg
Infant and Child: D25W 2-4 mL/kg
Adolescent Adult: D50W 1-2 mL/kg

ACLS (1 decks)

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