ACLS algorithms Flashcards
Adult Cardiac Arrest algorithm for Vtach/ Vfib
Start CPR give oxygen-BVM apply monitor and defib pads defibrillate 150J continue CPR switching compressors at 2 min rhythm check mark IV/IO access rhythm check no change- defibrillate 200J administer 1mg Epi continue CPR consider advanced airway H's and T's 2 min rhythm check no change defibrillate 200J administer 300mg AMI continue CPR 2 min rhythm check no change defibrillate 200J administer 1mg EPI 2 min rhythm check no change defibrillate 200J administer 150mg AMI
- continue this algorithm until ROSC or decision is made to terminate
- CPR and airway notes-
- no advanced airway- 30:2 compressions
- advanced airway- continuous compressions and 1 breath every 6 seconds
- CPR hard and fast 2 in deep 100-120 BPM
Adult Cardiac Arrest algorithm for Asystole/PEA
Start CPR
give oxygen-BVM
apply monitor and defib pads (In the case rhythm changes to a shockable rhythm defib pads should be applied to be able to give immediate shock)
IV/IO
administer 1 mg EPI every 4 min (every other 2 min rhythm check)
consider advanced airway
switch compressors every 2 min to avoid fatigue and ensure adequate compressions
H’s and T’s
continue with the CPR EPI every 4 min algorithm until ROSC, rhythm changes or decision to terminate call is made
- CPR and airway notes-
- no advanced airway- 30:2 compressions
- advanced airway- continuous compressions and 1 breath every 6 seconds
- CPR hard and fast 2 in deep 100-120 BPM
Adult Post Cardiac Arrest algorithm
ROSC obtained
manage airway with early placement of ET tube if needed or one has not already been placed during arrest
maintain oxygenation SpO2 92%-99% and PaCO2 35-45 mmHg
manage hemodynamic parameters- >90 mmHg systolic BP and MAP ->65mmHg
Epi Drip- 2-10 mcg/min
1mg in 250mL using a 60 gtts set
4mcg/min-60gtts
3mcg/min-45gtts
2mcg/min-30gtts
1mcg/min-15gtts
3, lead, 12 lead, maintain appropriate vital signs and perfusion and transport
Adult Bradycardia algorithm
ABC, IV, O2, monitor, 3 lead, 12 lead,
symptomatic- 1mg atropine every 3-5 min max 3 mg
unstable ( AMS or hypotension)- Transcutanious pacing 60-70 bpm turning up until both mechanical and electrical capture can be confirmed.
SAMPLE, OPQRST, treat causes/ life threats, maintain appropriate vital signs and perfusion and transport
Adult Tachycardia algorithm
ABC, IV, O2, monitor, 3 lead, 12 lead,
symptomatic- 6mg Adenosine followed by 12 mg Adenosine if required
unstable- Cardioversion 100J followed by 150J if needed
SAMPLE, OPQRST, treat causes/ life threats, maintain appropriate vital signs and perfusion and transport
Adult ACS algorithm
ABC, IV, O2, monitor, 3 lead, 12 lead, Aspirin 324 mg chewable, Nitro- if not contraindicated by low BP or right sided infarct, Fentanyl, STEMI alert,
SAMPLE, OPQRST, treat causes/ life threats, maintain appropriate vital signs and perfusion and transport
Adult Torsades algorithm
with a pulse- ABC, IV, O2, monitor, 3 lead, 12 lead,
Symptomatic- vagal maneuver, if unchanged- Mag Sulfate 1-2 grams slow push
Unstable or unchanged- unsynchronized cardiovert 50-100 J
SAMPLE, OPQRST, treat causes/ life threats, maintain appropriate vital signs and perfusion and transport
without a pulse- 1mg of Mag sulfate, followed by V tach V fib cardiac arrest algorithm
Pediatric Cardiac Arrest algorithm V tach/ V fib
Start CPR give oxygen-BVM apply monitor and defib pads defibrillate 2J/kg continue CPR switching compressors at 2 min rhythm check mark IV/IO access rhythm check no change- defibrillate 4J/kg administer 0.01mg/kg Epi continue CPR consider advanced airway H's and T's 2 min rhythm check no change defibrillate 4J/kg administer 5mg/kg AMI continue CPR 2 min rhythm check no change defibrillate 4J/kg administer 0.01mg EPI 2 min rhythm check no change defibrillate 4J/kg administer 5mg/kg AMI
- continue this algorithm until ROSC or decision is made to terminate
push hard and fast 1/3rd chest depth, 100-120 bpm
no advanced airway- 15:2 compressors to breaths
advanced airway- continuous compressions 1 breath every 2-3 seconds
Pediatric cardiac Arrest algorithm for PEA/Asystole
Start CPR
give oxygen-BVM
apply monitor and defib pads (In the case rhythm changes to a shockable rhythm defib pads should be applied to be able to give immediate shock)
IV/IO
administer 0.01 mg/kg EPI every 4 min (every other 2 min rhythm check)
consider advanced airway
switch compressors every 2 min to avoid fatigue and ensure adequate compressions
H’s and T’s
continue with the CPR EPI every 4 min algorithm until ROSC, rhythm changes or decision to terminate call is made
push hard and fast 1/3rd chest depth, 100-120 bpm
no advanced airway- 15:2 compressors to breaths
advanced airway- continuous compressions 1 breath every 2-3 seconds
