ACLS

  1. WHAT IS THE FIRST DRUG GIVEN FOR SYMPTOMATIC SINUS BRADYCARDIA?
    ATROPINE .5 MG IV EVERY 3-5 MINS TO A TOTAL OF 3MG


    ALSO GIVEN FOR ASYSTOL OR PEA 1MG IV/IO PUSH TO 3 DOSES OR 3MG
  2. WHEN IS DOPAMINE USED
    2nd DRUG FOR SYMPTOMATIC BRADYCARDIA ( AFTER ATROPINE )

    2-20 mcg /KG/MIN
  3. MAGNESIUM SULFATE IS RECOMMENDED FOR USE IN CARDIAC ARREST ONLY IF ?
    TORSADES DE POIJTES OR SUSPECTED HYPOMAGNESEMIA IS PRESENT

    1-2 G ( 2-4 ML OF 50% SOLUTION) DILUTED IN 10ML OF D5W OVER 5-20 MINS.
  4. WHAT IS THE ALTERNATIVE TO AMIODARONE IN CARDIAC ARREST FROM VF/VT
    LIDOCAINE

    • IV = 1-1.5MG/KG TO A MAX OF 3MG/KG
    • ENDO TUBE= 2-4 MG/KG

    MAINTENANCE INFUSIOJ 1-4MG/MIN
  5. WHAT MEDICATION CAN BE GIVEN THRU ENDOTRACHEAL TUBE?
    • -ATROPINE
    • -EPINEPHRINE
    • -LIDOCAINE

    SHOULD BE DILUTED IN WATER OR NS TO A FOLUME OF 10 ML
  6. WHAT MEDICATION CAN BE GIVEN TO REPLACE LIDOCAINE OR IF NOT RESPONDING TO LIDOCAINE?
    AMIODARONE

    • 1ST 300MG IV/IO PUSH ( DILUTION IN 20-30ML OF D5W)
    • 2ND 150MG IV/IO PUSH ( DILUTION IN 20-30ML OF D5W)

    1/2 LIFE OF UP TO 40 DAYS AND MY CAUSE HYPOTENSION
  7. WHAT MEDICATION MY BE USED TO REPLACE 1ST AND 2ND DOSE OF EPINEPHRIN IN V-FIB?
    VASOPRESSIN

    ONE DOSE FOR CARDIAC ARREST 40 UNITS IV/IO PUSH


    ALSO MY BE USEFUL IN ASYSTOL OR PEA
  8. WHAT VASOPRESSOR SHOULD BE GIVEN IF VASOPRESSIN NOT USED FIRST IN VF,PULSELESS VT, ASYSTOL, PEA ?
    EPINEPHRIN

    IV = 1MG ( 10ML OF 1:10,000 SOLUTION ) EVERY 3-5 MINS

    ENDO TUBE = 2-2.5MG IN 10ML NS
  9. WHAT IS THE FIRST DRUG FOR MOST STABLE NARROW COMPLEX "PSVT"
    ADENOSINE

    PLACE IN REVERSE TRENDELENBERG

    • 1ST DOSE 6MG PUSH FOLLOW WITH 20ML NS
    • 2ND DOSE IF NO RESPONCE WITHIN 1-2 MINS GIVE 12MG
    • 3RD DOSE IF NO RESPONCE WITHIN 1-2 MINS GIVE 12MG
  10. WHAT ARE THE INDICATIONS FOR ( AMIODARONE ) IN ACLS
    AN ANTIRRHYTHMIC CAN REPLACE LIDOCAINE


    PULSELESS VT/VF ( AFTER CPR, DEFIBRILLATION, AND A VASOPRESSOR)

    1ST BOLUS 300MG IV/IO

    2ND BOLUS 150MG IV/IO
  11. WHAT IS THE USE OF " ATROPINE " FOR ACLS
    FIRST LINE DRUG FOR SYMPTOMATIC NARROW QRS BRADYCARDIA .5MG IV PUSH 3-5 MIN TOTAL OF 3MG

    ASYSTOLE ( AFTER EPINEPHRINE ) 1MG IV PUSH 3-5 MINS TOTAL OF 3MG

    SLOW PEA ( AFTER EPINEPHRINE ) 1MG IV PUSH 3-5 MINS TOTAL OF 3MG
  12. USE OF ( EPINEPHRINE ) IN ACLS
    • USED FOR CARDIAC ARREST: VF, PULSELESS VT, ASYSTOLE, PEA
    • IV/IO 1MG (10ML) OF 1:10,000 FOLLOW WITH 20 ML FLUSH

    • USED FOR SYMPTOMATIC BRADYCARDIA OR HYPOTENSION
    • 2-10 MCG/MIN
  13. WHAT IS THE USE OF LICOCAINE IN ACLS
    AN ANTIARRHYTHMIC

    PULSELESS VT/VF THAT PERSISTS AFTER DEFIBRILLATION AND VASOPRESSOR ADMINISTRATION

    • 1ST DOSE 1-1.5 MG/KG IV/IO
    • REPEAT .5 TO .75 MG/KG TO TOTAL OF 3MG/KG

    ENDOTRACHEAL DOSE 2-3 MG/KG OR 2-2.5 TIMES IV DOSE
  14. WHAT IS THE USE OF ( MAGNESIUM SULFATE ) IN ACLS
    ARREST DUE TO " TORSADES DE PANTES "

    1-2G ( 2-4ML OF 50% SOLUTION DILUTED IN 10ML OF D5W OVER 5-20 MINS
  15. WHAT IS THE USE FOR ( VASOPRESSIN ) IN ACLS
    A VASOPRESSOR


    MAY BE USED AS AN ALTERNATIVE TO EPINEPHRIN IN V-FIB REPLACES 1ST OR 2ND DOSE OF EPINEPHRINE

    GIVEN AS ONE TIME DOSE OF 40UNITS IV/IO PUSH HALF LIFE OF 10-20 MINS
  16. ACUTE CORONARY SYNDROMES FIRST LINE OF TREATMENT IS MONA. WHAT IS MONA
    • OXYGEN
    • ASPIRIN
    • NITROGLYCERIN
    • MORPHINE
    • IF ALLERGIC TO ASA GIVE ( PLAVIX )
  17. WHAT ARE THE DRUGS USED FOR V-FIB/PULSELESS VT
    • EPINEPHRINE
    • VASOPRESSIN
    • AMIODARONE
    • LIDOCAINE
    • MAGNESIUM SULFATE
Author
rahproteus
ID
10461
Card Set
ACLS
Description
MEDICATION USED IN ACLS
Updated