ACLS Flashcards
What are the the H’s and T’s
Hypovolemia Hypoxia Hydrogen Ions (acidosis) Hypo / Hyperkalemia Hypothermia Tension Pneumothorax Tamponande, Cardiac Toxins Thrombosis, pulmonary Trhombosis, conary
Sychronized Cardioversion Narrow Regular
50J-100J
Sychronized Cardioversion Narrow Irregular
120J-200J (biphasic) or 200J (Monophasic)
Sychronized Cardioversion Wide Regular
100J
Sychronized Cardioversion Wide Irregular
Defib Dose Not Synched
When should Adenosine be used
Unstable Tachy if wave is narrow and regular
Stable Tachy if wave is narrow and regular
Stable Tachy if wave is wide, regular, and monomorphic
Adenosine
For Tachy
6mg, 12mg, 12mg (rapid IV push, Rapid print)
Stops conduction through AV nodal tissue
What are the 3 antiarrhythmic infusions for stable wide QRS Tachy
Procainamide IV
Amiodarone IV
Sotalol IV
Amiodarone IV dose for Tachy
First Dose 150mg over 10 minutes
Repeat if VT occurs
Followed by maintenance infusion
1mg/min for first 6 hours
Procainamide IV dose for Tachy
20-50mg/min until arrhythmia is suppressed, hypotension ensues, QRS duration increases by 50%, or maximum dose of 17mg/kg is given
Maintence infusion 1mg/min for first 6 hours.
Sotalol IV dose for Tachy
100 mg (1.5 mg/kg) over 5 minutes. Avoid if prolonged QT.
Unstable Brady Pt Algorithm
.5 mg Atropine (repeat every 3-5 min)
max dose of 3mg
Pacing 70 BPM increase miliamps until electrical capture. check for mechanical capture (pulse)
2-10 mcg/kg /minute of Dopamine IV
2-10 mcg per minute of Epinephrine IV
Shock energy for DEFIB
120J-200J for biphasic (initial dose)
Use max if unknown
360J for monophasic
Cardiac arrest shockable rhythm algorithm
CPR 2 min (IV/IO access) Analyze Defib Epi 1mg 1:10,000 IVP CPR 2 min Analyze Defib Amioderone 300mg IVP CPR 2 min Analyze Defib Epi 1mg 1:10,000 IVP CPR 2 min analyze Defib Amioderone 150mg IVP CPR 2 min analyze Epi 1mg 1:10000IVP
Amount of fluid in a bolus
20mL / KG
End Tidal CO2 target
35-40 mm Hg
Amount of fluid in cardiac bolus
250ml
Epinephrine
Class: Sympathomimetic
MOA: Vasoconstrictor, bronchial dialator,
Contrindications, Hypertension, hypothermia, pulmonary edema, myocardial ischemia, hypovolemic shock
Dose:
Allergic reactions
.3-.5 mg (1:1,000) IM
1ml of 1:10,000 IV/IO over 5 minutes
Pediactric Allergic Reactions
.01 mg/kg of 1:1,000 IM
Cardic Arrest
1 mg of 1:10,000 IVP every 3-5 minutes
As a Vasopressor
2-10 mcg per minute
Atropine
Class: Anticholinergic parasympatholytic
.5mg 1st dose, 1mg 2nd dose
Fast, Wide, irregular
Think Rapid A-Fib Give Cardizem
Cardizem
.25mg/kg 1st dose, .35mg/kg 2nd dose
For rapid A-Fib
Dopamine
2-20mcg /kg/min
Vasopressin
40 units
Can be substuted for first or second dose of eppi in cardiac arrest algorithm
