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ACLS DRUGS Flashcards

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Title Description Total Cards Subject Created

ACLS DRUGS Drugs used during code situations 16 Medical 06/16/2008

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Term Definition

I: Re-Entry SVT Dose: 6mg IV/IO push followed by 20ml saline Adenosine 1-2min later 12mg IV/IO Push(up to 2 times) Then move on to other therapy(ie Cardioversion)

Term

Definition

I: Shock Resistant Ventricular Fibrillation Dose: 300mg IV/IO, Amiodarone Second does of 150mg if VF recurs 24hr maximum is 2.2gm

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Term Definition

ACLS DRUGS Flashcards

Indication: Sympomatic Bradycardia,2nd &3rd degree heart block. Dose: .04mg/kg or 1mg IV for PEA or Asystole Atropine Sequence for Bradycardia is: Atropine, TCP, Epinephrine, Dopamine. If no IV access go straight to TCP.

Term

Definition

Calcium Chloride

Indication: Magnesium Toxicity or Calcium Channel blocker Over Dose 500-100mg IV

Be careful with patients on Digitalis

Term

Definition

Indication: Slow Rapid Ventricular Response associated with A. Fib/A. Fluter Dose: 0.25mg/kg After 15 min 0.35mg/kg, Infusion: 5-15mg/hr titrated to heart rate

Diltiazem

Term

Definition

Function: Cardio Genic Shock(Increases Cardiac Output and BP)

Dopamine

Dose: 1-5mcg/kg/min(Renal and Splanchnic Dilation) 5-10mcg/kg/min(Beta Effects(inotropy)) 10-20mcg/kg/min(Alpha Effects(vasoconstriction))

Term

Definition

Myocardial and CNS blood Flow d/t effects

Dose: 1mg IV push Q3-5 min Epinephrine 2-2.5mg down the ET tube

May need higher doses with blockers or CCB

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ACLS DRUGS Flashcards

Term

Definition

Ind: Pharmacologic conversion of A. Fib/Flutter Ibutilide When Adenosine and Beta Blockers ineffective.

Term

Definition

Alternative therapy for refractory VF/pulseless VT

Lidocaine

Dose: 1-1.5mg/ KG IV followed by 1-4mg/min infusion

Term

Definition

Torsade De Pointe VT

Magnesium

Hypomagnesmia hinders the cellular movement of K+ and thereby makes the heart prorrhythmic. Dose: 1-2gm IV push over 1-2 minutes.

Torsade with pulse = 1-26mg in 100ml D5W over 5-60 minutes

Term

Definition

Analgesic of Choice for ischemic pain w/ ACS that is not relieved by Nitroglycerin. Also good for treating pulmonary edema as it decreases venous return to the heart and has a mild bronchodilatory effect.

Morphine

2-4mg IV push

Term

Definition

Indication: Chest Pain

Nitroglycerine

relaxes vascular smooth mucscle. Can be given topical, spray, sublingually, IV

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Term Definition

ACLS DRUGS Flashcards

Ind: Stable Monomorphic VT with preserved ventricular function, Controlling rate in A.Fib/flutter, controlling rate in re-entry SVT. Procainamide Not to be used in Pulseless arrest.

Four endpoints: 1)QRS width by 50%, 2) hypotension develops 3) 20-50mg/min total of 1.2gm(70kg pt) 4) Dysrhytmia subsides

Term

Definition

Metoprolol

beta blockers have a depressing effect on pumping action of heart, idicated in the treatment of AMI

Term

Definition

Indication: Acidosis reversal.

Initial dose without a blood gas: 1meq/kg IV push Sodium Bicarb w/ half dose administered q10min

Mainlyh used for TCA OD, Hyperkalemia, preexisting metabolic acidosis

Term

Definition

Shock refractory VF or pulesless VT & Asystole in place of initial or second dose of epinephrine. Has powerful vasoconstrictive effects. Vasopressin Dose: 40u IV one time then return to epinephrine

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