ACLS Flashcards
Stable Narrow complex tachycardia
Vagal
Adenosine 1st 6mg 2nd 12mg rapid flush
Synchronized cardioversion (Consider Sedation) SVT-50-100J A-Fib-120J A-Flutter-120J
Unstable Narrow Complex Tachycardia
Synchronized cardioversion (Consider Sedation) SVT-50-100J A-Fib-120J A-Flutter-120J
Stable Wide Complex Tachycardia
Consider Adenosine for aberrancies(6mg, 12mg rapid flush)
Amiodarone 150mg over 10 mins
Synchronized cardioversion
100J
Consider Sedation
Unstable Wide Complex Tachycardia
Synchronized cardioversion V-tac 100J Torsades-DEFIB - 1-2mg Mag Sulfate infusion Consider Sedation
Stable Bradycardia(1st degree block, Wenkebach)
Atropine 0.5mg repeat 3-5 mins max 3mg
Pacing
- 60-100bpm
- titrate by 10 until capture add another 10
- Check mechanical and electrical capture
- Consider Sedation
Unstable Bradycardia(Mobitz, complete heart block)
Pacing
- 60-100bpm
- titrate by 10 until capture add another 10
- Check mechanical and electrical capture
- Consider Sedation
ACS
Immediate 12 Lead and begin transport
324 ASA
0.4mg Nitro must ask about phosphodiesterase drugs
Pain meds
PEA/Asystole
CPR
1mg Epi every 4 minutes
Pulse checks every 2 minutes
Upgrade Airway
H’s & T’s
V-tach/V-fib
SHOCK
CPR
Pulse checks every 2 minutes
Epi every 4 minutes
Amiodarone 300mg then wait 4 mins 150 mg
Upgrade airway
H’s and T’s
Hypovolemia Hypoxia Hydrogen ion excess (acidosis) Hypoglycemia Hypokalemia Hyperkalemia Hypothermia Tension pneumothorax Tamponade – Cardiac Toxins Thrombosis (pulmonary embolus) Thrombosis (myocardial infarction)
Hypovolemia
NS
Hypoxia
O2
Hydrogen ion excess/Acidosis
Hyperventilation consider Sodium Bicarb
Hypoglycemia
D-50
Hypokalemia
IV Magnesium infusion