ACLS Dr. Young Flashcards
drugs to buy you time
epinephrine
vasopressin
epi dose
1mg IVP
epi drip
2-10 microgram/min
vasopressin dose
40 units ivp
adenosine push
6mgm push
then 12 mgm
don’t use adenosine with
irregular rhythm (like a fib)
amiodarone dose
300 mg - pulseless VT/VF
150 mgm for stable VT
procainamide dose
17 mg/kg at 20 mg/min
magnesium dose
1-2 gm over 5-60 min
atropine dose
.5 mg up to 3 mg
target BP
systolic 90
dopamine dose
2-20 ug/kg/min
nitroglycerine dose
0.4mg x 3
hypothermia target temp
33
1 box =
0.2 seconds
FNR
sinus tachy
svt
flutter
FNI
a fib
MAT
FWR
v tach
FNR+
FWI
polymorphic v tach
FNI+ (a fib)
FNR, unstable
convert
FNR, not sure if stable
adenosine
adensoine and sinus tach
slow than speed up
adenosine and SVT
fixes or nothing
adenosine and a flutter
shows flutter waves
FWR treatment
essentially vt treatment
pulseless - cpr + def
unstable - cardiovert
stable - adenosine, amiodarone, lidocaine, procainamide
torsades =
caused by long qt
treated with magnesium
LAD supplies
anterior 2/3 septum and LV
circumflex supplies
lateral wall, posterior
RCA supplies
inferior wall, posterior, RV
LAD - 12 lead
V1, V2 (septal)
V3, V4 (anterior)
Circumflex - 12 lead
I, avL, V5, V6 (lateral)
RCA - 12 lead
ii, iii, avf (inferior and posterior)
