ACLS Adult

Question 1

DEFIBRILLATION

Answer 1

Monophasic (LifePak):

200J, 300J, 360J

Biphasic (Zoll):

120J, 150J, 200J

Question 1

GLUCOSE

Answer 1

1 Amp D50 (2cc/kg)

*Can use for children >8 as well

Question 2

EPINEPHRINE

Answer 2

1 mg IV

Question 2

DILTIAZEM

Answer 2

0.25mg/kg IV (20mg Max) over 2 minutes

Followed by 0.35 mg/kg (25 mg Max) over 5 min

Question 2

MAGNESIUM

Answer 2

2-4 G IV

Question 4

AMIODARONE

(Pulseless)

Answer 4

300mg IV (push)

2nd dosing if no conversion: 150mg IV (push)

then infusion of 1mg/min for 6 hrs (360mg IV)

followed by infusion .5mg/min for 18 hrs (540mg IV)

**Don’t forget that vials in crash cart may be only 150mg dose, will need 2 vials

Question 5

NARCAN

Answer 5

0.5-2mg IV/IM

Question 6

ADENOSINE

Answer 6

6mg IV, rapid push

Repeat Dose: 12 mg IV, rapid push x2 (if needed)

Question 7

PROCAINAMIDE

Answer 7

17mg/kg IV at 20mg/min - 30 mg/min

Question 8

AMIODARONE

(VTach w/ Pulse)

Maintenance Dose?

Answer 8

150mg IV (infusion over 10 min)

Maintenance: 1mg/min for first 6hours,

then 0.5mg/min for next 18 hours

Question 9

CALCIUM CHLORIDE (CaCl₂)

Answer 9

20mg/kg slowly

*3x more potent than Ca Gluconate

**ONLY give through Cental Line**

***If given in PIV - may cause soft tissue/skin necrosis at the site

Question 10

VASOPRESSIN

Answer 10

40 U IV

Question 11

CARDIOVERSION

Answer 11

Synchronized

Narrow Regular: 50-100 J

Narrow Irregular: 120-200 J biphasic or 200 J monophasic

Wide Regular: 100 J

**Wide Irregular: DEFIB! (NOT synchronized)

Question 13

ATROPINE

(Bradycardic)

Answer 13

0.5mg IV

Question 14

INSULIN

Answer 14

Bolus: 0.1U/kg (10U) IV (not routinely used in adults)

Drip Rate: 0.1U/kg/hr

Question 16

ATROPINE

(Pulseless VT/VF)

Answer 16

1 mg IV q3-5 min (max 3mg)

Question 17

HYDROCORTISONE

Answer 17

100mg IV

Question 18

SODIUM BICARBONATE

(NaHCO3)

Answer 18

1 Amp

Question 19

CALCIUM GLUCONATE

Answer 19

60 - 100 mg/kg slowly

*May give peripherally

Question 20

LIDOCAINE

Answer 20

Initial: 1.0-1.5 mg/kg initial dose

then 0.5 - 0.75 mg/kg q5m to max dose of 3 mg/kg

*alt to amiodarone if not available

Question 21

Name the 4 Medications that Can Be Given Via ETT

Answer 21

LEAN

Lidocaine, Epinephrine, Atropine, Narcan

**Double the dosing and mix in 10 ml NS