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ACLS > ACLS Drugs > Flashcards

ACLS Drugs Flashcards

1
Q

ADENOSINE

Indication

A

ADENOSINE Indication

   STABLE NARROW COMPLEX SVT
                              Or    
   Reg Monomorphic Wide Complex T❤

Stops ReEntry involving AV & SA node
DOESN’T WORK ON AFIB/AFLUTTER/VTach

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2
Q

ADENOSINE

Administration

A

ADENOSINE - Administration

Initial - (6mg) Rapid over 1-3 SEConds
Followed by rapid 20ml Flush

2nd - (12mg) over 1-2 MINs

  • Have Pt in Reverse Trend
  • Attach Zoll and Record Rhythm Strip
  • Use 3 way stop Cocktail w/ both syringes
  • Clamp IV tubing, No backflow
  • Maintain Pressure on adenosine plunger
  • Elevate Extremity after given
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3
Q

ADENOSINE P&C

Precautions & Contraindications

A

ADENOSINE

Precautions
- Side Effects: flushing, Chest Pain, tightness,
Brief ASYSTOLE, Brady❤️, &
Ventricular ectopy
- Less effective when pt takes theophylline
and caffeine (may need larger doses)
- Need for reduced dose (3mg)
If given in CENTRAL LINE!!!
Heart Transplant Pts
Taking Carbamazepine/Tegretol, or
Dipyridamole

Contraindications
- Poisoned Induced Tacycardia
- 2nd & 3rd Degree AV Blocks
- Irregular Polymorphic Wide Complex
Tacycardia/VT: may cause deterioration

SAFE FOR PREGNANCY

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4
Q

AMIODARONE

Indication

A

AMIODARONE Indications

  • VFib & Pulseless VTach … that are
    unresponsive to Shocks/CPR/ & Pressors
  • Recurrent hemodynamically unstable VTach
  • Used with Expert Consultation Situations in
    Some Atrial & Ventricular Arrythmias
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5
Q

AMIODARONE

Administration

A

AMIODARONE Administration

VFib/pVTach/Unresponsive Cardiac Arrest

  • 1st dose: 300mg IVP
  • 2nd dose: 150mg IVP
    (Rapid infusions causes severe HoTN

Life Threatening Arrythmias

  • MAX Cumulative Dose for 24hrs: 2.2 grams
  • Rapid: 150mg IV over 10 mins repeat q10min
  • Slow: 360mg IV over 6 hrs (1mg/min)
  • Maint: 540mg IV over 18hrs (0.5mg/min)
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6
Q

AMIODARONE P&C

Precautions & Contraindications

A

AMIODARONE

Precautions
- HoTN w/ Rapid Infusion
- SEVERE HoTN w/ > max dose 2.2g/24 hr

Contraindications
- Do not give with other drugs that
Prolong QT Interval QTc >500

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7
Q

ATROPINE

Indication

A

ATROPINE Indications

  • Symptomatic Brady❤️
  • May help with AV Nodal Block
    (Not in 2° type II or 3° blocks)
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8
Q

ATROPINE

Administration

A

ATROPINE Administration

Bradycardia w/wo ACS

0.5mg IV q3-5 mins & max 3mg

In severe clinical conditions
Use shorter intervals & hiigher doses

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9
Q

ATROPINE P&C

Precautions & Contraindications

A

ATROPINE

Precautions
- Increases O2 Demand; use w/ caution
In MIs & Hypoxia
- Paradoxical Slowing in 2° & 3° blocks
w/ wide QRS complexes
& doses < 0.5 mg

Contraindications
- Hypothermia Bradycardia

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10
Q

DOPAMINE

Indication

A

DOPAMINE Indication

2nd Line Symptomatic Brady❤️

HoTN SBP<70 to 100 w/ S&S of Shock

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11
Q

DOPAMINE

Administration

A

DOPAMINE Administration

infusion: 2-10 mcg/kg/min Titratable
Taper slowly

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12
Q

DOPAMINE P&C

Precautions & Contraindications

A

DOPAMINE

Precautions

Correct Hypovolemia first
CAUTION w/ Cardiogenic Shock W/ CHF
May Cause
- tachyarryrhmias
- excessive vasoconstricrion

Contraindications
- Do not MIX w/ SodiumBICARB!

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13
Q

EPINEPHRINE

Indication

A

EPINEPHRINE Indication

Cardiac Arrest - Vfib/pVTach/PEA/Asystole

Symptomatic Bradycardia
(alternative to Dopamine)

Severe HoTN

Anaphylaxis
w/ large fluid volume, corticosteroids, &
antihistamines

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14
Q

EPINEPHRINE

Administration

A

EPINEPHRINE Administration

Cardiac Arrest

  • IVP: 1mg q 3-5 mins w/ 20ml flush during CPR
    (Elevate extremiry)
  • Higher doses: 0.2 g /kg
    w/ BB & CalCB overdoses
  • Continuous: 0.1-0.5 mcg/kg/min titratable
  • Endotracheal: 2-2.5 mg diluted in 10ml flush

Profound Bradycardia & Hypotension

  • 2-10 mcg/min titratable
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15
Q

EPINEPHRINE P&C

Precautions & Contraindications

A

EPINEPHRINE

Precautions
- Increases BP, HR, O2 Demand causing
MI and Angina
- Higher doses don’t improve survival
or neurological outcome, increased
postresuscitation myocardial dysfxn
- May need Higher doses to treat
poison/drug Induced shock

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16
Q

LIDOCAINE

Indication

A

LIDOCAINE Indication

Alt for Amio in Arrest from VFib/pVTach
Stable monomorphic Vtach
w/ preserved Ventricular function
Stable polymorphic VTach
w/ preserved LV Fxn & BL QT
after ischemia & electrolytes tx
Prolonged QT Interval w/ suspected torsades

17
Q

LIDOCAINE

Administration

A

LIDOCAINE

Administration

Cardiac Arrest from Vfib/pVTach
- initial: 1-1.5 mg/kg IV
- Refractory VFib:
additional 0.5-0.75 mg/kg IVP
repeat q 5-10 min
max 3 doses or max dose 3mg/kg

Perfusing Arrythmia
- Stable VTach Wide Complex sign ectopy
0.5-0.75 mg/kg up to 1-1.5 mg/kg
Repeat 0.5-0.75 mg/kg q 5-10 mins
Max 3 mg/kg

Maintenance
- 1-4mg/min (30-60 mcg/kg/min)

18
Q

LIDOCAINE P&C

Precautions & Contraindications

A

LIDOCAINE

Precautions
- Reduce Maint dose if impaired Liver Fxn
or LV Dysfunction

Contraindications

  • Prophylactic use in AMI
  • DC if S&s of toxicity
19
Q

MAGNESIUM SULFATE

Indication

A

MAGNESIUM SULFATE Indication

  • Cardiac Arrest d/t torsades de pointes
    Or suspected hypomagnesemia
  • Live Threatening Ventricukar Arrythmias
    d/t digitalis toxicity
20
Q

MAGNESIUM SULFATE

Administration

A

MAGNESIUM SULFATE

Administration

Cardiac Arrest d/t HoMg Torsades
- 1-2g (2-4ml of 50% Solution
in 10ml D5W or NS)

Torsades w/ Pulse or AMI
- Loading dose 1-2g in 50-100ml of NS/D5W
Over 5-60 mins IV
- Followed by: 0.5-1 g/hr (titratable)

21
Q

MAGNESIUM SULFATE P&C

Precautions & Contraindications

A

MAGNESIUM SULFATE

Precautions

  • HoTN w/ Rapid administration
  • Caution in renal failure Pts
22
Q

CALCIUM GLUCONATE

A

A

23
Q

CALCIUM GLUCONATE

A

A

24
Q

CALCIUM GLUCONATE P&C

A

A

25
Q

BICARBONATE

A
26
Q

BICARBONATE

A
27
Q

BICARBONATE P&C

A
28
Q

ACLS Drug Dosages

Adenosine
Atropine
Epinephrine
Amiodarone
Dopamine
Lidocaine
Magnesium Sulfate
Bicarbonate

A

Adenosine 6mg & 12mg
Atropine 0.5mg
Epinephrine 1mg
Amiodarone 300mg & 150 mg
Dopamine X
Lidocaine X
Mag Sulfate 1-2g
Bicarbonate X

29
Q

ALL ACLS Drug Dosage

A

Adenosine- SVT. 6mg + 12mg w/ 20ml flush
Amioderone - afib RVR. 300mg 150mg
Atropine - Brdycardia. 0 5mg
Epinephrine - Cardiac Arrest 1mg
Lidocaine - 1.0 - 1.5mg
Magnesium

ACLS (5 decks)

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