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Flashcards in ACLS Deck (18)
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1
Q

Class III anti-dysrhythmic potassium channel blocker?

A

Amiodarone

2
Q

Dosage and route of amiodarone?

A

Pulseless: 300 mg IV push for refractory VT and VF

With Pulses: 150 mg IV push for wide complex VT.

3
Q

Hs and Ts

A
Hypoxia
Hypothermia
Hydrogen ions (acidosis)
Hypo-/Hyperkalmia
Hypovolemia
Thrombus (cardiac/pulmonary)
Toxins
Tension pneumothorax
Tampinode, cardiac
4
Q

Epineprine

A

Sympathetic agonist, naturally occurring catecholamine with alpha and beta stimulant effects. Effects on beta-receptors is more profound than on alpha-receptors.

5
Q

Effects of epinephrine?

A
Increased heart rate
Increased cardiac contractile force
Increased electrical activity in the myocardium
Increased systemic vascular resistance
Increased blood pressure
Increased automaticity
6
Q

Epinephrine dosage for cardiac arrest

A

1.0 mg of 1:10,000 IV or IO push (can be repeated every 3 to 5 minutes).
Endotracheal dosage increased by 2 to 2.5 times IV dosage.

7
Q

CPR Quality

A

Push hard (2 inches or more) and fast (100 or more per minute) and allow complete chest recoil.

8
Q

Compression to Ventilation Ratio

A

30:2 compression-ventilation ratio if no advanced airway is in-place.

9
Q

Return of Spontaneous Circulation (ROSC) pETCO2

A

Typically 40 mm Hg or more.

10
Q

Atropine

A

Anticholinergic, parasympatholytic (anti-cholinergic) derived from parts of the Atropa belladonna plant. It is used to increase the heart rate. It has positive chronotropic effects with little to no inotropic effects.

11
Q

Amiodarone indications?

A

Stable, irregular, narrow-complex tachycardia (A-fib)
Stable, regular, narrow-complex tachycardia
To control rapid ventricular rate due to accessory pathway

12
Q

Amiodarone contraindications?

A

Cardiogenic shock
Sinus bradycardia
2nd and 3rd degree AV block

13
Q

Atropine indications are…

A

hemodynamically significant bradycardia with a pulse.

14
Q

Atropine contraindications are…

A

none emergency situations. Be cautious of coronary artery disease, 2nd and 3rd degree AV blocks.

15
Q

Atropine side effects are…

A

blurred vision, dilated pupils, dry mouth, tachycardia, drowsiness, and confusion.

16
Q

Atropine dosage

A

0.5 mg IV push (can be repeated every 3 to 5 minutes for a maximum dose of 3 mg)

17
Q

Treatment for high degree heart block…

A

begin transcutaneous pacing. Target pacing should by 80 joules and 80 bpm.

18
Q

Synchronized cardioversion dosages

A

Narrow regular: 50-100 joules
Narrow irregular: 120-200 joules
Wide regular: 100 joules
Wide irregular: defibrillation dose (NOT synchronized)