ACLS Flashcards
When is TTM (targeted temperature management) recommended?
Post ROSC adult patients who are comatose: 32-36 Celsius for 24hrs
Optimal post cardiac arrest MAP
65 or greater
H’s & T’s
Hypovolemia Hypoxia Hyper/hypoglycemia Hydrogen ion (acidosis) Hypothermia
Tension Pneumo Tamponade Thrombosis - pulmonary Thrombosis- coronary Toxins
If a patient’s suspected cardiac pain responds to nitro, is this a confirmation of ACS?
No. GI etiologies as well as other etiologies can “respond” to nitro administration.
Do NSAID’s play a role in treatment of ACS?
Outside of aspirin they are contraindicated due to an increase in mortality, reinfarction, hypertension, and heart failure.
What does PCI stand for?
Percutaneous coronary intervention
ROSC epi infusion dose
0.1-0.5 mcg/kg/min
ROSC dopamine infusion
5-10 mcg/kg/min
Weight in pounds divided by 10 is approx. 5 mcg/kg/min
ROSC nor-epi (levophed) infusion
Same as epi
0.1-0.5 mcg/kg/min
Bradycardia atropine dosing
0.5mg IVP every 3-5 minutes
Max 3mg
Bradycardia dopamine infusion
2-20 mcg/kg/min
Bradycardia epinephrine dose
2-10 mcg/min
Synchronized Cardioversion dosage
Narrow regular: 50-100
Narrow Irregular: 120-200
Wide Regular: 100
Wide irregular: unsychronized defib
Wide QRS stable tachycardia infusion treatment.
Amiodarone 150mg over 10 minutes
Repeat as needed if VT returns
Adenosine dose
6mg rapid IVP
Followed by 12mg if needed
