ACLS class notes Flashcards
True or false: the IV that is in place to infuse drugs is also used to draw labs
True
What is the indication for NS vs LR?
LR for trauma
NS for medical codes
What is the primary antiarrhythmic used in a code?
Amiodarone
What is the dosage on amiodarone for the first, and successive doses?
300 mg
150 mg for each additional dose
What is the dosage on lidocaine for the first and successive doses?
1.0-1.5 mg/kg for first dose, 0.5 to 0.75 mg
What are the 5 H’s?
Hypoxia Hydrogen ions Hypo/hyperkalemia Hypothermia ***
What are the five T’s?
What is the amount of oxygen (SpO2) that should be used on COPD patients?
94-99%
What is the max amount of ventilation during a code?
1 per 6 secs
What is the reasoning for pre-oxygenation?
3 breathes of oxygen prior to sucking all air out
What is the target body temperature with hypothermia? How long should this be maintained?
32-36 degrees C for 24 hours (different from book)
What is the first thing that is checked with a newly organized rhythm on the monitor?
Check pulse to assess for PEA
What is the SBP that is considered stable?
90 mmHg
What should be done if the SBP is only 70 mmHg?
Continue support with CPR
What is the normal response to prolonged hypothermia? What, then, must be monitored?
Inflammation. Thus need to monitor for fever, and manage appropriately.
What are the orders that need to be obtained post arrest?
ECG + basic labs
What are the two contraindications to ASA administration?
Enteric bleed within the last 2 weeks
Allergy
At what level of SpO2 should oxygen be given?
94% or less
What is the frequency of Nitro?
1 every 5 minutes, up to three doses
What are the contraindications to nitro?
Bradycardia
If RV infarction is present, should you use nitrates?
No
What EKG should be obtained if there shows an inferior lead STEMI? Why?
Right sides EKG, to evaluate for RV infarction
Should you use coated ASA?
No
What is the goal for fibrinolytics?
within 30 minutes of arrival in the ED
CXR should be obtained within what time frame after arrival to the ED?
30 minutes
What are the adjunctive treatment?
NTG
Heparin
Beta blocker