ACLS Flashcards
In A-fib, will you see a QRS COMPLEX?
YES
In V-fib, will you see a QRS COMPLEX?
NO!
Where is lead 1 placed?
4th intercostal space to the right of the sternum
Where is lead 2 placed
4th intercostal space to the left of the sternum
Where is lead 4 placed
5th intercostal, mid clavicular ( below nipple line)
Where is lead 3 placed
Midway between leads 2&4
Where is lead 5 placed
5th intercostal space, anterior axillary line
Where is lead 6 placed
5th intercostal space mid axillary
What interventions should be performed for pulseless electrical activity
- Identify the cause
- Start CPR
- 100% oxygen
- Administer EPINEPHRINE
- IV fluids
- ACLS PROTOCOL
What drugs can be given for ventricular fibrillation/ tachycardia
{VEALM}
- Vasopressin
- Epinephrine
- Amiodarone
- Lidocaine
- Magnesium
What drugs can be administered for PEA/ asystole
Epi
What drugs can be administered to treat bradycardia
- Atropine
- Epinephrine
- Dopamine
What drugs can be administered to treat tachycardia
Adenosine Amiodarone Beta blockers Digoxin Dilitiazem Magnesium Verapamil
What drugs can be administered to treat ACUTE CORONARY SYNDROMES
MORPHINE, OXYGEN,NITROGLYCERIN, ASPIRIN, fibrinolytic therapy, heparin, beta blockers.
What is the first line drug of choice for symptomatic bradycardia
Atropine
IT MAY BE BENEFICIAL IN AV BLOCK OR ASYSTOLE!
What is the second line drug of choice for symptomatic bradycardia
DOPAMINE
What does dopamine treat
Dopamine is the second line drug of choice for symptomatic bradycardia and, it is also used for hypotension with signs and symptoms of shock.
What is epinephrine indicated for
- Cardiac arrests ( VF, asystole, PEA)
- Symptomatic bradycardia, (after atropine alternative to dopamine.)
- Severe hypotension
- Anaphylaxis
What drugs are used for tachycardia
Dilitiazem
Adenosine
Metoprolol
Amiodarone
Dilitiazem is indicated for what
Tachycardias such as A- fib OR A- flutter
Adenosine is indicated for what condition
1st drug of choice for supraventricular tachycardia ( SVT)
What can be done for SVT
You can give adenosine while preparing to cardiovert
What are the indications for metoprolol
- Suspected MI or unstable angina
- 2nd line agent for SVT refractory to adenosine
- To reduce myocardial ischemia in MI patients with elevated HR and/or BP
- Emergency antihypertensive therapy for acute hemmorhagic or ischemic stroke.
What is amiodarone indicated for
LIFE THREATENING DYSRHYTHMIAS
- VF/ pulseless
- VT unresponsive to shock, CPR, and vasopressors
- Recurrent hemodynamically unstable VT
