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ACLS Training > Pharmacology > Flashcards

Pharmacology Flashcards

1
Q

What is the 1st drug used in any arrest rhythm

A

Epinephrine

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2
Q

What is Epi

A

A vasopressor

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3
Q

What is an alternative vasopressor to Epi

A

Vasopressin

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4
Q

What is the problem with Vasopressin

A

You can only use it as a one time replacement for Epi & if used twice there is toxicity due to long half life

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5
Q

What is the normal dose of Epi

A

1mg IV/IO

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6
Q

What is the standard concentration of Epi

A

1:10,000

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7
Q

What is the standard dose of Vasopressin

A

40 units IV/IO

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8
Q

What is the preferred antiarrhythmic

A

Amiodarone

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9
Q

What is the 2nd choice antiarrhythmic

A

Lidocaine

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10
Q

What might Amiodarone (or Lidocaine) be used for

A

Narrow complex tachy under expert consultation

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11
Q

What class of drug is Atropine

A

Anticholinergic

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12
Q

What is Atropine no longer used for

A

Asystole or PEA (pulseless electrical activity)

Note: neither are perfussing rhythms

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13
Q

What is Atropine used for

A

ALL bradycardic rhythms before pacing unless IV/IO access is not available

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14
Q

What is the standard dose of Atropine for bradycardias

A

0.5mg IV/IO

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15
Q

What is the max dose of Atropine

A

3mg

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16
Q

How often is Atropine given

A

Every 3-5 minutes

17
Q

What is Adenosine used for

A

Treatment of wide complex tachy if it is stable, regular, and monomorphic

18
Q

What is an alternative to pacing for symptomatic unstable bradys

A

Dopamine or Epi drips (Dopamine preferred 1st)

These are chronotropic drug infusions

19
Q

What might you use morphine for

A

Unstable angina - Use with caution!

20
Q

What is the preferred route for drug & fluid administration according to ACLS

A

IV (as close to heart as possible)

21
Q

At what point of CPR should drugs be administered

A

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

22
Q

When should we not give nitro

A

RV infarction, hypotensive, severe brady, some tachy, recent use of PDIs

ACLS Training (8 decks)

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