ACLS Flashcards
1
Q
First 4 ACLS actions for cardiac arrest
A
start CPR (compressions + bag them with O2)
give O2
attach monitors defib
get access
2
Q
Shockable (2) and not shockable (2) rhythms
A
shock - VF, pVT
no shock - PEA, asystole
3
Q
What drug for cardiac arrest?
What frequency?
A
epinephrine 1 mg q2-3 minutes
4
Q
Can’t get an IV, what do you do?
A
IO
Central line
5
Q
Shockable rhythm, you give shock, what drug do you think of now? what dose(s)?
A
amioderone 300 mg bolus, then 150 mg bolus
6
Q
Shock energy for cardiac arrest defib?
A
biphasic 120-200 joules
7
Q
Reversible causes of cardiac arrest?
5Hs
A
5Hs, 5Ts Hypovolemia Hypoxia Hydrogen ion (acidosis) Hyper/hypo-K, Ca, Mg Hypothermia
Tension Pneumo Tamponade Thrombus - pulm PE Thrombus - cardiac MI Toxins - reversal agents, antidotes
8
Q
Reversible causes of cardiac arrest?
5Ts
A
5Hs, 5Ts Hypovolemia Hypoxia Hydrogen ion (acidosis) Hyper/hypo-K, Ca, Mg Hypothermia
Tension Pneumo Tamponade Thrombus - pulm PE Thrombus - cardiac MI Toxins - reversal agents, antidotes
9
Q
Unstable bradycardia (with pulse) - options for management? (3)
A
- atropine 0.5-1 mg q3-5 minutes, MAX 3 mg
- pacing - transcutaneous or transvenous
- infusion - dopamine IV infusion 2-10 mcg/kg/min - epinephrine IV infusion 2-10 mcg/min
