ACLS Review

Question 1

Adult ACLS:

atropine dose

Answer 1

1 mg q 3-5 min

Question 2

adult ACLS:

dopamine infusion rate

Answer 2

5-20 mcg/kg/min

** reminder
1-5: dopamine receptors in kidney

5-10: beta 1

> 10: alpha 1

Question 3

adult ACLS:

epi infusion rate

Answer 3

2-10 mcg/min

Question 4

Adult ACLS:

adenosine IV dose

Answer 4

6 mg rapid IV push

second dose: 12 mg

Question 5

Adult ACLS:

amiodarone IV infusion dose

Answer 5

150 mg over 10 mins (repeat as needed if VT recurs)

maintenance infuison of 1 mg/min for first 6 hrs

Question 6

If no advanced airway, what is the compression: ventilation ratio

Answer 6

30-2

Question 7

Adult ACLS:

Biphasic Defibrillation Jules

Answer 7

120-200 J

Question 8

Adult ACLS:

Monophasic Defibrillation Jules

Answer 8

360 J

Question 9

Adult ACLS:

amio first and second IVP dose

Answer 9

300mg then 150 mg

Question 10

Adult ACLS:

Lidocaine IVP first and second dose

Answer 10

first: 1-1.5 mg/kg

second: 0.5-0.75 mg/kg

Question 11

PALS:

Defibrillation first and second shock

Answer 11

first: 2J/Kg

second: 4 J/Kg

subsequent shocks: > or = 4 J/Kg

Question 12

PALS:

Epi push dose

Answer 12

0.01 mg/kg

0.1 mg/kg for ETT

Question 13

PALS:

Amiodarone IV/IO dose

Answer 13

5 mg/kg

may repeat up to 3 total doses for refractory VF/pulseless VT

Question 14

PALS:

Lidocaine IV/IO dose

Answer 14

1mg/kg

Question 15

PALS:

atropine dose

Answer 15

0.02 mg/kg

may repeat ONCE

Question 16

PALS:

minimum and maximum single dose for atropine

Answer 16

minimum: 0.1 mg

max: 0.5 mg

Question 17

PALS:

adenosine IV/IO first and second doses

Answer 17

first: 0.1 mg/kg

second: 0.2 mg/kg

Question 18

List the H’s (6) and T’s (5)

Answer 18

Hypovolemia
Hypoxia
Hydrogen ion (acidosis)
Hypoglycemia
Hypothermia
Tension pneumothorax
Tamponade cardiac
Toxins
Thrombosis, pulmonary
Thrombosis, coronary

Question 19

Adult Synchronized Cardioversion Joules:

Answer 19

50-100J

Question 20

Adult Wide QRS tachy

Procainamide Dose:
initial:
Maintenance:
avoid in:

Answer 20

• Initial: 20-50mg/min
• Maintenance: 1-4mg/min
• Avoid: prolonged QT/CHF

Question 21

Adult Wide QRS tachy

Sotalol dosing
Avoid in:

Answer 21

• 100mg (1.5mg/kg)
• avoid in prolonged QT

Question 22

Causes of bradycardia in kids (3):

Answer 22

1. hypoxia
2. hypothermia
3. medication injection

Question 23

Pediatric synchronized cardioversion Joules:
2nd cardioversion:

Answer 23

0.5-1J/kg

2J/kg