ACLS CLASS Flashcards

1
Q

A person is in VF/VT. CPR has been initiated; epinephrine, vasopressin & shocks have been unsuccessful. What drug do u prescribe now?

A

Amiodarone 300 mg IV/IO OR lidocaine 1-1.5mg/kg

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2
Q

For Torsades de pointes what should you do

A

Stop all antiarrthymics…. GIVE MAGNESIUM OR EPINEPHRINE

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3
Q

Lidocaine dosage

A

Initial dose- 1-1.5 mg/kg IV

Repeat dose- 0.5- 0.75 mg/kg IV

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4
Q

How often can you repeat lidocaine

A

Every 5-10 minutes

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5
Q

What is the maximum dose of lidocaine that can be administered

A

3mg/ kg

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6
Q

What is the cardiac arrest dose of magnesium

A

1-2 g over 5-20 minutes

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7
Q

What is the dosage for magnesium in a person suffering from Torsades

A

1-2 g IV/IO over 5-60 minutes

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8
Q

For any heart blocks what drug should be administered

A

Atropine

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9
Q

For WIDE SVT, what drug should be administered

A

Amiodarone

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10
Q

For SVT NARROW what drug should be administered

A

Adenosine

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11
Q

For narrow SVT do you cardiovert

A

YES. PREPARE A SYNCHRONIZED CARDIOVERSION

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12
Q

Atropine dosage

A

0.5 mg bolus

Repeat every 3-5 min for a max of 3 mg.

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13
Q

If a person Is hypotensive how much dopamine should be administered

A

2-20 mcg/kg per minute

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14
Q

If a person is suffering from bradycardia how much dopamine should be administered

A

2-10 mcg/kg per minute

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15
Q

What are dosages of adenosine

A

Administer rapidly IV push over 1-3 sec. initial bolus of 6 mg. ( may repeat with 12 mg twice only)

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16
Q

How many joules should be given for A FIB

A

120-200

17
Q

How many joules should be given for A FLUTTER or SVT

A

50-100

18
Q

How many joules should be given for MONOMORPHIC VT

A

100

19
Q

For synchronized cardioversion what is best practice

A

Premedicate with both a sedative and a analgesic!

20
Q

Name 3 sedatives

A

Diazepam
Midazolam
Etomidate

21
Q

Name 3 analgesics

A

Fentanyl
Morphine
Hydromorphone

22
Q

What is used for repercussion therapy and ACS adjuncts

A

Morphine
Oxygen
Nitroglycerin
Aspirin 160-325 mg.

23
Q

Give examples of when a ASPIRIN OR CLOPIDOGREL should be used

A

STEMI
NSTEMI
UNSTABLE ANGINA
UA UNDERGOING PCI

24
Q

What should be administered to all patients with suspected ischemic pain

A

Aspirin 160-325 mg chewed

2-4 baby aspirin can be given

25
Q

Nitroglycerin actions

A
Decreases pain of ischemia 
Increases venous dilation 
Decreases venous blood return to heart
Decreases preload and cardiac oxygen consumption 
Dilates coronary arteries
26
Q

Nitroglycerin sublingual dosages

A

Sublingual 0.3 - 0.4 mg REPEAT EVERY 5 minutes

27
Q

Nitroglycerin spray inhaler dosages

A

1-2 metered doses at 5 min intervals

Max of 3 sprays within 15 min

28
Q

Nitroglycerin IV INFUSION dosage

A

12.5 - 25 mcg bolus/ 10-20 mcg/min infusion titrated

29
Q

When Is nitroglycerin therapy contraindicated

A

Systolic BP LESS THAN 90

30
Q

When is a good time to administer morphine

A

Administer to all patients with suspected ischemic pain unresponsive to oxygen and nitrates
Reassess and repeat VS between dosages

31
Q

What is the initial dose of morphine

A

2-4 mg IV over 1-5 min

Administer slowly