ACLS Drugs Flashcards
Atropine (Dose and Indication)
Symptomatic Sinus Bradycardia
0.5mg IV Q 3-5 min (not to exceed 0.04mg/kg)
Dopamine (Dose and Indication)
2nd line sinus bradycardia, Hypotension with signs of shock.
2-20 mcg/kg
Epinephrine (Dose and Indication)
Cardiac Arrest, Sympt Bradycardia, Hypotension, Anaphylaxis
1mg Q3-5min or continuous 0.1 - 0.5 msg/kg/hr
Lidocaine
Cardiac Arrest from VF/VT
1 - 1.5 mg/kg
MgSO4
Torsade
1 - 2 g
Vasopressin
Alternative to epinephrine
40 units IV/IO push
Adenosine
Narrow Complex SVT
6mg 1st dose —> 12mg 2nd dose
Amiodarone
VF / Pulseless VT unresponsive to shock and vasopressor.
300mg IV/IO push —–> 150mg IV/IO Push
Adult Tachycardia and the patient is unstable
Synchronized Cardioversion
- narrow regular 50 - 100 J
- narrow irregular 120 - 200 J Biphasic
- Wide regular 100J
- Wide Irregular- Max Defibrillation dose
Adult Bradycardia with pulse
Atropine, Transcutaneous pacing
Immedate post cardiac arrest care
- Optimize ventilation and oxygenation
- Treat hypotension
- Not following commands–>Hypothermia
- Following Commands –> Check for STEMI
A-Systole steps
CPR 2 min with 1mg Epinephrine, then assess for shock. 120-200 J shock
VF or pulseless VT algorithm for epi administration
CPR –> Shock –> CPR–> Shock –> CPR + Epi –> Shock —> CPR with Amidarone
How to use vasopressin during a code
Can replace 1st or 2nd dose of epi at a dose of 40 units
5 H’s and 5 T’s that are reversible causes of Systole and PEA
5 H’s: Hypovolemia, Hypoxia, H- Ions, Hypo & Hyper Kalmia, Hypothermia
5 T’s: Tension Pneumo, Tamponade, Toxins, Thrombosis, Trauma
