ACLS Algorithms - VF/VT, Bradycardia, Tachycardia

Question 1

What drugs are given in case of VF or pulseless VT?

Answer 1

Epi and Amiodarone

Question 2

What drugs are given in case of asystole or PEA?

Answer 2

Epi

Question 3

What is the dosing of EPI for VT, VF, asystole, and PEA?

Answer 3

1 mg every 3-5 min.

Question 4

What is the first and main drug given in case of complicated bradycardia?

Answer 4

Atropine

Question 5

What is the dosing of atropine in cases of complicated adult bradycardia?

Answer 5

0.5 mg every 3-5 mins to a max of 3mg

Question 6

What is the Tx for complicated adult bradyarrhythmia if atropine is ineffective?

Answer 6

transcutaneous pacing OR dopamine IV infusion OR Epi IV infusion

Question 7

How much Dopamine is given for bradycardia?

Answer 7

2-10 μg/kg/min

Question 8

How much dopamine would you give to a 70 kg man w/ bradyarrhythmia?

Answer 8

up to 700 μg/min

Question 9

How much Epi is given in case of bradycardia?

Answer 9

2-10 μg/min

Question 10

How much Epi would you give to a 70 kg man w/ bradycardia?

Answer 10

2-10 μg/min

Question 11

What is the Tx for unstable (e.g. altered mental status, shock) tachycardia?

Answer 11

syncronized cardioversion

Question 12

What is the Tx for stable, narrow complex tachycardia?

Answer 12

vagal manuevers, adenosine, β-blockers, Ca++ channel blockers

Question 13

What is the Tx for stable, wide-complex tachycardia?

Answer 13

Anti-arrhythmic infusion

Question 14

What kind of anti-arrhythmic infusions in what doses should be given for unstable, wide-complex tachycardia?

Answer 14

Amiodarone, 150 mg over 10 mins

Sotalol, 100 mg over 5 min

Question 15

What is the dosing for Adenosine in tachycardia?

Answer 15

1st dose: 6 mg + NS flush

2nd dose: 12 mg

Question 16

What drug can you try if you have stable, wide-complex tachycardia that is regular and monomorphic?

Answer 16

adenosine