ACLS ( 2010 ACC/AHA ACLS ) 2014

!!

Adenosine 6 mg IVP 1~3 20 ml NS1~2
(Adenocor) - QRS 12 mg1~2 AF/Af
6 mg/vial - QRS 12 mg
SVT (6 mg12 mg12 mg) (~10 )
QRS SVT[] theophylline adenosine
dipyridamole carbamazepine adenosine
Alteplase / :
(Actilyse) STEMI 15 mg IVB 0.75 mg/kg ( 50 -
50 mg/vial 100 mg 1.5 mg) IVF 30 - 3
0.5 mg/kg ( 35 - 14
mg) IVF 1 -
1 mg/ml 10% IVB 90% IVF 1 - (SBP/DBP >185/110 mmHg)
(2 vials/NS 100 0.9 mg/kg ( 90 mg) - 7
ml) 1 - (PLT <100KINR >1.7PT >15 )
10 mg IVB 90 mg IVF 2 - CPR
100 mg 2 - aspirin heparin
STEMI (door-to-drug) 30
Amiodarone CPR 300 mg/ 20-30 ml D5W IVP
(Cordarone) 3~5 150 mg QT ( TdP <0.5%)
150 mg/3 ml (VF) QT
/amp 150 ( 1 )( 1~2 )
mg IVD 10 (15 mg/min) 1 D5W
(III) ( mg/min 6 0.5 mg/min
) 18 ( 2.2
gm 15 amps)
Atropine ( ACS) 0.5 mg IV ()
sulfate 3~5
(Atropine) 0.6~1 mg IVB 0.5 mg
1 mg/amp 5
( * 0.04 mg/kg 3 mg 2010
) 2~4 mg (PEA)
Calcium : 5~10 ml IVB NaHCO3
chloride 1~3 30~60
(CaCl2; Vitacal) 5.44 mEq/amp; 0.27 mEq/ml
2% 20 ml/amp
()
Digoxin 0.25~0.5 mg(5 g/kg)IV6~8 Amiodarone Digoxin
(Lanoxin) 0.1~0.3 mg IV
0.5 mg/amp : 0.075~0.35 mg IV QD GFR 10~50 ml/min: 25~75%
0.25 mg/tab GFR <10 ml/min: 10~25%

Digibind : (vial): x /100 38 mg Digibind 0.5 mg digoxin

(38 mg/vial) 10 vials
3~5 vials
(K >5.0 mEq/L) 30
>10 ng/ml
Diltiazem AF : 15~20 mg(0.25 QRS
(Herbesser) Adenosine mg/kg)IV 2
50 mg/5 ml/amp QRS SVT : 5~15 mg/hr IVF Wolff-Parkinson-White(WPW)
AF/Af
(IV)
Dobutamine ( 2~20 g/kg/min IVF
(Dobutamine) ) () SBP 100 mmHg
250 mg/20 70~100 mmHg
ml/vial 10%

Dopamine ( 2~20 g/kg/min IVF

(Dopamine) Atropine ) (1~5 g/kg/min
200 mg/ 5 (SBP 70 6~10 g/kg/min >10 NaHCO3
ml/vial mmHg) g/kg/min )

Enoxaparin 1 mg/kg SQ Q12H heparin 100,000

(Clexane) (GFR <30 ml/min Scr ( protamine 1 mg 100 IU heparin1
60 U/syn >2.5 mg/dl) 1 mg/kg SC QD mg enoxaparin)
20 U/syn >75 : 0.75 mg/kg SC Q12H IVSQ IM

Epinephrine 1 mg IVP 3~5

(Adrenaline)
1 mg/ml/amp (
0.2 mg/kg)

2~10 g/min IVF
Flumazenil benzodiazepine(BZD) 0.2 mg(2 ml) IVP 15 30
(Anexate) 0.3 mg(3 ml) IVP 30
0.5 mg/5 ml/amp 30 0.5 mg(5 ml) IVP 1~3 1
30 ( 3 mg 6 amps)
Furosemide SBP 90 0.5~1 mg/kg IV 1~2
(Lasix) mmHg 2 mg/kg
20 mg/2 ml/amp FurosemideBumetanide = 401
L (lasix) M (morphine) N (nitrate) O
(oxygen)
Glucagon 3 mg IV 3
(Glucagen) mg/hr /
1 mg/vial

Isoproterenol ( 2~10 g/min IVF (

(Proterenol) ) )
0.2 mg/ml/amp MgSO4
torsade de pointes(TdP) TdP : QT

Lidocaine VF VT VF/VT 1~1.5 mg/kg
(Xylocaine) IVP 5~10 <5% HD PD
2% 100 mg/5 VT 0.5~0.75 mg/kg( 3
ml/amp QT mg/kg 3 )
VT 0.5~0.75 mg/kg IVP
(Ib) 5~10 (
3 mg/kg 3 )
: 1~4 mg/min(30~50
g/kg/min) IVF
MgSO4 TdP TdP 1~2 gm/
10% 2 gm/20 ml 10 ml D5W IV 5~20
/amp 16.23 mEq/amp
()
Milrinone : 50 g/kg IV 10
(Primacor) ( : 0.375~0.75 g/kg/min IVF
10 mg/10 ml/vial ) (2~3 )

Morphine STEMI 2~4 mg IV 1~5

sulfate 5~30
10 mg/amp NSTEMI 1~5 mg IV M (morphine) O (oxygen) N ( NTG) A
(aspirin)
Naloxone 0.4~2 mg ( 0.4~0.8 mg IM) IV
hydrochloride
(Narcan) meperidine (demerol)
0.4 mg/ml/amp ( 1~3 )

Nitroglycerin : 12.5~25 g IV( SBP 10%(

(illrisol) ) ) 30%()
5 mg/10 ml/amp : 10~20 g/min IVF SBP 90 mmHg
(Nitrostat) 5~10 10g/min (<50 bpm)(>100 bpm)
0.6 mg/tab
24 sildenafil48
tadalafil
Norepinephrine : 0.5~1 g/min(30~60 g/hr)
(Levophed) IVF( 30
4 mg/4 ml/amp g/min)

NaHCO3 1 mEq/kg IV()

7% 20 ml NaHCO3 HCO3 = 1/2 x (24 - HCO3)
16.7 mEq/amp ()
(
)
Vasopressin VF PEA VF 40
(Pitressin) PEA U IVP
20 U/ml/amp epinephrine
0.01~0.04 U/min IVF
Verapamil QRS 2.5~5 mg IVP 2 ( QRS
(Isoptin) SVT( 3 ) 15~30 WPW AF(SSS)
2.5 mg/2 ml/amp adenosine ) 5~10 mg( 20 mg) ()
AF/Af
(IV) (MAT)
IVP = intravenous pushIVB = intravenous bolusIVF = intravenous infusion
RSI (rapid sequence intubation)
RSI
Lidocaine 100 mg/amp 1.5 mg/kg IV RSI 3 45~90 10~20
Fentanyl 0.5 mg/amp 1~3 mcg/kg IV RSI 3 30~60
Atropine 1 mg/amp 0.5 mg IVB 2~3
Succinylcholine 500 1.5 mg/kg IV 4 mg/kg IM 45 10
mg/vial
Midazolam 5 mg/amp 0.2~0.3 mg/kg ( 5~10 mg) IVB 1~2