ACLS Flashcards
1) What is first line drug for Bradyarrhythmia/hemodynamic compromise
2) What is 2nd line drugs for Bradyarrhythmia/hemodynamic compromise. hint (2 drugs)
1) Atropine
2) Epinephrine & Dopamine
What are signs of hemodynamic compromise
hint: 5
1) Changes in metal status
2) Ischemic chest discomfort
3) Hypotension
4) Sign of shock
5) Acute heart failure
1) What is first line drug for Tachyarrhythmia with a pulse, QRS complex NARROW, the rhythm is regular, and patient is not hemodynamic compromise
2) What is 2nd line for drug
1) Adenosine: 6mg via rapid IV push followed by 10 -20 ml normal saline flush
2) Calcium blocker: Verapamil, Diltiazem
Beta Blocker: Metoprolol, Atenolol, Propranolol, Esmolol
1) What is the first line non-drug for Tachycardia with a pulse, WIDE complex, hemodynamic compromise
2) What 1st, 2nd and 3rd line drug
1) Synchronized cardioversion
2) Procainamide, Amiodarone, Sotalol
What are examples of Narrow-Complex Tachyarrhythmias
1) Sinus Tachycardia
2) Atrial flutter
3) Supraventricular Tachycardia
4) Atrial Fibrillation
What are examples of Bradyarrhythmia’s
1) Sinus Bradycardia
2) First-degree AV block
3) 2nd degree AV block (type I and type II)
4) 3rd degree AV block (complete)
What are examples of Wide-Complex Tachyarrhythmias
1) Monomorphic ventricles tachycardia
2) Polymorphic ventricular tachycardia
3) Torsades de pointes
4) Ventricular fibrillation
What rhythms associated with cardiac arrest
1) Ventricular Fibrillation
2) Pulseless ventricular tachycardia
3) Pulseless electrical activity
4) Asystole
What are cardiac markers for suspected ACS?
(Acute Coronary Syndromes)
ACS- a sudden reduction in the blood suply to the heart
Troponin
What are Vasopressor drug infusion to maintain
Blood pressure >90 or MAP >65 after Post-Cardia Arrest
Epinephrine
Dopamine
Norepinephrine
What drug treat Torsades
Magnesium
Adenosine indication
1) Regular narrow complex tachyarrhythmias
no hemodynamic compromise
2) Regular narrow complex tachyarrhythmias
hemodynamic compromise
(do not delay cardioversion)
3) Regular Monomorphic wide-complex
tachyarrhythmias (no hemodynamic compromise)
Atropine indication
Bradyarrhythmia hemodynamic compromise
Dopamine indication
hint: 2,
Bradyarrhythmia/ hemodynamic compromise (2nd line)
After cardiac arrest 2
Procainamide indication
Wide-Complex tachyarrhythmia/ no hemodynamic compromise
