Pharmacology Flashcards
What is the 1st drug used in any arrest rhythm
Epinephrine
What is Epi
A vasopressor
What is an alternative vasopressor to Epi
Vasopressin
What is the problem with Vasopressin
You can only use it as a one time replacement for Epi & if used twice there is toxicity due to long half life
What is the normal dose of Epi
1mg IV/IO
What is the standard concentration of Epi
1:10,000
What is the standard dose of Vasopressin
40 units IV/IO
What is the preferred antiarrhythmic
Amiodarone
What is the 2nd choice antiarrhythmic
Lidocaine
What might Amiodarone (or Lidocaine) be used for
Narrow complex tachy under expert consultation
What class of drug is Atropine
Anticholinergic
What is Atropine no longer used for
Asystole or PEA (pulseless electrical activity)
Note: neither are perfussing rhythms
What is Atropine used for
ALL bradycardic rhythms before pacing unless IV/IO access is not available
What is the standard dose of Atropine for bradycardias
0.5mg IV/IO
What is the max dose of Atropine
3mg
How often is Atropine given
Every 3-5 minutes
What is Adenosine used for
Treatment of wide complex tachy if it is stable, regular, and monomorphic
What is an alternative to pacing for symptomatic unstable bradys
Dopamine or Epi drips (Dopamine preferred 1st)
These are chronotropic drug infusions
What might you use morphine for
Unstable angina - Use with caution!
What is the preferred route for drug & fluid administration according to ACLS
IV (as close to heart as possible)
At what point of CPR should drugs be administered
As fast as possible and as close to the beginning of the 2 minute cycle as possible for max circulation of drug through the body
When should we not give nitro
RV infarction, hypotensive, severe brady, some tachy, recent use of PDIs
