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ACLS > Block 2 > Flashcards

Block 2 Flashcards

1
Q

Epinephrine- MOA

A
  • Vasopressor- optimizes cardiac output and blood pressure
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2
Q

Epinephrine- Indications

A

Cardiac arrest

  • 1 mg q 3-5 min
  • Flush with 20mL and elevate extremity
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3
Q

Epinephrine- Indications

A

Cardiac arrest: VF, pulseless VT, asystole, PEA
Bradycardia
Severe Hypotension

  • 1 mg q 3-5 min
  • Flush with 20mL and elevate extremity
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4
Q

Vasopressin- MOA

A
  • Non-adrenergic peripheral vasoconstrictor
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5
Q

Vasopressin- Indications

A

Cardiac arrest

- 1 dose 40 mg. Replace first or second epi dose

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6
Q

Atropine- MOA

A

1st dr

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7
Q

Epinephrine- Indications

A 
Cardiac arrest: VF, pulseless VT, asystole, PEA
Bradycardia
Severe Hypotension
- 1 mg q 3-5 min
- Flush with 20mL and elevate extremity
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8
Q

Epinephrine- AE

A
  • Ischemia, mycardial o2 demand
  • High doses do not improve survival
  • Higher doses to tx poison/ drug shock
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9
Q

Vasopresson- AE

A
  • Provoke ischemia & angina

- Not for use with CAD

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10
Q

Atropine- MOA

A

Anticholinergic

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11
Q

Atropine- Indications

A
  • 1st drug for bradycardia
  • Organophosphate poisoning
  • AV node block
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12
Q

Atropine- AE

A
  • Caution in MI or hypoxia
  • Avoid in hypothermia
  • Small doses may slow HR
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13
Q

Dopamine- MOA

A

Adrenergic stimulation

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14
Q

Dopamine- Indications

A
  • Second line for bradycardia

- Hypotension

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15
Q

Dopamine- AE

A
  • Correct hypovolemia first
  • Caution with CHF
  • Don’t mix with sodium bicarb
  • May cause tachy, vasoconstriction
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16
Q

Dopamine- AE

A
  • Correct hypovolemia first
  • Caution with CHF
  • Don’t mix with sodium bicarb
  • May cause tachy, vasoconstriction
17
Q

Mg sulfate-Indications

A

-Cardiac arrest with:
Torsades de pointes, Hypomagnesmia
- Digitalis toxicity

18
Q

Mg sulfate- AE

A
  • Fall in BP

- Caution in renal failure

19
Q

Sodium bicarb- Indications

A

Metabolic acidosis

20
Q

Sodium bicarb- AE

A
  • Don’t use with dopamine, amphetamines

- CHF

21
Q

Sodium bicarb- AE

A
  • Don’t use with dopamine, amphetamines

- CHF

22
Q

PEA 5 H’s

A
  • Hypovolemia
  • Hypoxia
  • Hydrogen ions (acidosis)
  • Hyper/hypo kalemia
  • Hypothermia
23
Q

PEA 5 Ts

A
  • Tension pneumothorax
  • Tamponade
  • Toxins
  • Thrombosis (pulm & coronary)
24
Q

PEA 5 Ts

A
  • Tension pneumothorax
  • Tamponade
  • Toxins
  • Thrombosis (pulm & coronary)

ACLS (4 decks)

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