ACLS

Question 1

Atropine dose

Answer 1

First 0.5 mg, repeat q3-5min (max 3 mg)

Question 2

Epinephrine (for arrest)

Answer 2

1 mg IV/IO q3-5 min

Question 3

Vasopressin (for arrest)

Answer 3

Dose of 40 units can replace first two epi doses

Question 4

Amiodarone (for arrest)

Answer 4

[FOR VT/VF]: 150 mg over 10 minutes; repeat PRN for recurrence and start maint. infusion of 1 mg/min for 6 hours

Question 5

Dopamine drip

Answer 5

5-10 mcg/kg/min (in 70 kg adult = 350-700 mcg/min)

Question 6

Epinephrine drip

Answer 6

0.1-0.5 mcg/kg/min (in 70 kg adult = 7-35 mcg/min)

Question 7

Adenosine (for unstable VT or reg, monomorphic VF)

Answer 7

First 6 mg rapid IV push, Second 12 mg rapid IV push

Question 8

Mag sulfate

Answer 8

FOR TdP (or arrest in alcoholic, malnourished or known/suspected hypomag. patient): LD bolus of 1-2 g IV/IO in 10 mL D5W over 5-20 minutes

Question 9

Lidocaine

Answer 9

FIRST: 1 to 1.5 mg/kg IV/IO
THEN: 0.5-0.75 mg/kg q5-10 min (MAX 3 mg/kg total doses)

Question 10

Norepinephrine drip

Answer 10

0.1-0.5 msg/kg/min (in 70 kg adult = 7-35 mcg/min)

Question 11

Hs and Ts

Answer 11

Trauma
Tamponade
Tension PTX
Thrombosis, pulm
Thrombosis, coronary

Hypoxia
Hypovolemia
Hypo-/hyperkalemia
Hypothermia
Hypoxia
Hypoglycemia (Pedi)

Question 12

Target temp and time for therapeutic hypothermia

Answer 12

32-34°C for 12-24 hours (still ok to perform PCI while hypothermic)

Question 13

Bolus fluid temp for pt’s receiving therapeutic hypotension

Answer 13

4°C