ACLS Flashcards
Dose of epinephrine
1mg q3-5min
Dose of amiodarone and lidocaine
300mgx1 then 150mgx1 (amiodarone)
1-1.5mg/kh x1 then 0.5 - 0.75 mg/kg x 1 afterwards (lidocaine)
What is the rate of chest compressions
100-200/min with adult depth of at least 2 inches
If no airway is available, use a rate of _____ compression-ventilation ratio
30:2
What do you do if you see PEA or asystole?
Give epinephrine 1mg q3-5min
What medication do you give if someone is bradycardic?
atropine 0.5 mg IV q 3-5min (max 3mg)
What do you do if someone is tachycardic?
cardioversion
What meds do you give in a narrow complex tachycardia PSVT that does not respond to vagal maneuvers?
adenosine 6mg IV push, wait 2 min and repeat 12mg IV Consider CCB (verapamil 2.5-5mg or diltiazem 15-20mg) or beta-blocker
What do you give in a wide complex tachycardia?
amiodarone
If an ______1._ _______ is placed, perform continuous compressiosn w/ positive pressure ventilation w/o pausing chest compressions or 1 breath ____2.____
- advanced airway
2. q6s or 10 breaths/min
What is the compression to ventilation ratio for children?
30: 2 with 1 rescuer
15: 2 2 or more rescuers
in pediatric patients, what is the appropriate compression depth?
at least 1 third on AP diameter of the chest
How long is a CPR round?
2 min
What are the 5 H’s for reversible causes?
Hyper/Hypo-kalemia Hypoxemia Hypovolemia Hypothermia Hydrogen ion (acidosis)
What are the 5 T’s for reversible causes?
Tension pneumothorax Tamponade, cardiac Toxins Thrombosis, pulmonary Thrombosis, coronary
What is considered a wide QRS?
≥ 0.12 s
List 5 things you would do (in order), for a patient with narrow complex tachycardia, assuming they are not acutely decompensating?
- IV access and 12 lead ECG if available.
- vagal maneuvers
- adenosine (if regular)
- B-blocker or CCB
- consider expert consultation
What do you do if someone has tachycardia and they are decompensating?
synchronized cardioversion
Heart rate is typically ≥ ____ if tachyarrhythmia
≥150/min
Heart rate is typically < _____ if bradyarrhythmia
<50
If someone is bradycardic and atropine is not effective what can you do?
1) transcutaneous pacing OR
2) dopamine infusion OR
3) Epinephrine infusion
When ROSC is obtained, what are the steps in the initial stabilization phase?
- manage airway - early placement of endotracheal tube
- manage respiratory parameters (start 10 breaths/min, spO2 92-98%, PaCo2 35-45mmHg)
- Manage hemodynamic parameters (SBP >90 and mean arterial BP >65mmHg)
- obtain a 12-lead EKG
What are the obstetrical interventions in the ACLS algorithm for pregnancy?
- provide continuous lateral uterine displacement
- detach fetal monitors
- prepare for perimortem cesarean delivery
What are the maternal interventions in the ACLS algorithm for pregnancy
- perform airway management
- administer 100% O2, avoid excess ventialtion
- place IV above diaphragm
- if receiving IV mg, stop and give calcium chloride or gluconate
For a pregnant women if no ROSC in ___ minutes, consider immediate perimortem c-section
5
What are the components of post-cardiac care?
- oxygenation and ventilation - 94-99%
- hemodynamic monitoring
- targeted temperature management
- neuromonitoring (with continuous EEG) and consider early brain imaging + treat seizures
- electrolytes and glucose - measure BS and avoid hypoglycemia
- sedation
- Prognosis -consider EEG and neuroimaging during the first 7 days
