ACLS

Question 1

Adenosine Dose

Answer 1

6mg IV rapid push. May repeat 12mg IV x2. Follow dose with 20ml NS. Elevate arm

Question 2

Amiodarone Dose

Answer 2

Pulseless: 300 mg IV/IO push, may repeat 150mg IV push in 3-5 min

Pulse: 150 mg in 100ml D5W over 10 min.

Question 3

Atropine Dose

Answer 3

0.5 mg IV every 3 min (NTE: 3 mg)

Question 4

Calcium Chloride Dose

Answer 4

1000 mg IV over 2 min

Need large vein

Question 5

Diltiazem Dose

Answer 5

Bolus: 0.25 mg/kg (~20 mg) IV bolus over 2 min, may repeat in 15 min

0.35 mg/kg (~25 mg) x2min

Question 6

Dextrose 50% Dose

Answer 6

25-50 ml IV

Question 7

Epinephrine 1:10,000 Dose

Answer 7

1 mg IV/IO push every 3-5 min

ETT: 2-2.5 mg diluted in 10 ml NS

Question 8

Lidocaine Dose

Answer 8

1-1.5 mg/kg IV x1, then 0.5-0.75 mg/kg IV (max dose 3 mg/kg total)

Question 9

Mg Sulfate Dose

Answer 9

ACLS/Torsades:

Pulseless 1-2 g IV/IO push over 1 min

With pulse: give over 15 min

Question 10

Procainamide Dose

Answer 10

ACLS: 20-50 mg/min IV until arrhythmia resolved, hypotension occurs, or QRS prolonged by 50% or total cumulative dose of 17 mg/kg is given

Loading Dose: 1 gram (or 17 mg/kg) IV over 30 min

Infusion: 2-6 mg/min IV or 25-30 mcg/kg/min

Question 11

Sodium Bicarb Dose

Answer 11

1 mEq/kg (50 mEq) IV/IO may repeat

Question 12

Vasopressin Dose

Answer 12

40 IU IV/IO push x1

Question 13

Compatibility

Answer 13

DO NOT mix CaCl and Sodium Bicarb in same line - separate or flush with NS

Question 14

ET Drugs

Answer 14

NAVEL: naloxone, atropine, vasopressin, epinephrine, lidocaine

Need to be dosed at 2-2.5 times recommended IV dose and diluted into 5-10 ml NS or SW

Question 15

Lethal Rhythms

Answer 15

Shockable: VFib, VTac

Non-shockable: PEA, Asystole

Question 16

Cardiac Arrest Algorithm: Shockable

Answer 16

Start CPR: Oxygen, monitor/defibrillator

Shock

CPR x2 min

Shock

CPR x2 min, Epinephrine q3-5min

Shock

CPR x2 min, Amiodarone (1st = 300 mg)

After 2 more shock, second amiodarone dose (150 mg)

Question 17

Cardiac Arrest Algorithm: Non-Shockable

Answer 17

CPR x2 min

Epinephrine q3-5min

Question 18

Reversible Causes

Answer 18

Hypovolemia
Hypoxia
Hydrogen ion (acidosis)
Hypo-Hyperkalemia
Hypothermia

Tension Pneumothorax
Tamponade, cardiac
Toxins
Thrombosis, pulmonary
Thormobosis, cardiac

Question 19

Symptomatic Bradycardia

Answer 19

Atropine 0.5mg IV q3-5min (Max: 3 mg)

Transcutaneous Pacing:
Epi 2-10 mcg/min
OR
Dopamine 2-10 mcg/kg/min

Question 20

SVT

Answer 20

Vagal

Adenosine (6mg IV rapid push, 12 mg IV x2doses) - Follow with NS rapidly and elevate arm

Question 21

Afib/Flutter

Answer 21

Diltiazem: 15-20 mg IV over 2 min, repeat in 15min with 20-25 mg IV followed by drip

Metoprolol: 5 mg IV over 2 min, repeat q5min for total of 15 mg

Question 22

VTac

Answer 22

Amiodarone 150 mg in 100 ml D5W over 10 min followed by drip

Question 23

Torsades

Answer 23

Pulseless: 1-2g in 10 mL D5W over 1 min

Pulse: 1-2g in 50 mL D5W over 10 min