ACLS Flashcards
1
Q
Meds for V-Tach and V-Fib
A
- Vasopressors (Epi)
2. Antiarrhythmics (Amiodarone, Lido)
2
Q
Meds or Actions for Tachycardia
A
Stable: Vagal, Adenosine
Unstable: Cardiovert
3
Q
Meds for Bradycardia
A
- Atropine
- Epi gtt
- Dopamine gtt
4
Q
Meds or Actions for PEA/Asystole
A
- CPR
- Epi
5
Q
ACLS Medication Access
A
- Peripheral (preferred)
2. Introosseous
6
Q
“A” + “C”
A
Alpha + Contrict
7
Q
“B” + “D”
A
Beta + Dilate
8
Q
Epi
A
VF/VT
- Natural catecholamine
- Alpha properties: Vasoconstriction, increased SVR= increased BP, routing blood to brain and heart, increased CO, HR, and contractility
- Beta 2 properties: bronchodilator
- No Max dose
9
Q
Amiodarone
A
(Cordarone)
- Works on Na+ and K+ channels
- Alpha and Beta properties
- Two doses during arrest
- IV drop dosing is complex
- continuous EKG monitoring
- Hypotension is common
10
Q
Lidocaine
A
- Alternative to Amiodarone
- Suppresses ventricular ectopy
- Suppresses conduction of reentry pathways
- IV Push
- IV gtt - maintenance
- Max dose 3 mg/kg
11
Q
Procainamide
A
(Pronestyl)
-Suppresses ventricular ectopy
-Slows conduction through
myocardium
- IVorPO
- Initial loading dose
- Gtt thereafter
- DC if QRS widens > 50% of baseline
12
Q
Torsade de Pointes tx
A
Magnesium 1-2gms IV
13
Q
Code Sequence
A
Shock Drug Shock Drug Shock
Vasopressor
Anti-arrhythmic
Vasopressor
Antiarrhythmic
14
Q
Tachycardia Stable
A
- Attempt Vagal maneuvers
- cough, bear down, gag, carotid massage (not RN scope)
- Adenosine
- Beta Blockers
- Calcium Channel Blockers
15
Q
Tachycardia Unstable
A
- Synchronized Cardioversion
- Amiodarone
