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Flashcards in ACLS Deck (18):
1

Class III anti-dysrhythmic potassium channel blocker?

Amiodarone

2

Dosage and route of amiodarone?

Pulseless: 300 mg IV push for refractory VT and VF
With Pulses: 150 mg IV push for wide complex VT.

3

Hs and Ts

Hypoxia
Hypothermia
Hydrogen ions (acidosis)
Hypo-/Hyperkalmia
Hypovolemia
Thrombus (cardiac/pulmonary)
Toxins
Tension pneumothorax
Tampinode, cardiac

4

Epineprine

Sympathetic agonist, naturally occurring catecholamine with alpha and beta stimulant effects. Effects on beta-receptors is more profound than on alpha-receptors.

5

Effects of epinephrine?

Increased heart rate
Increased cardiac contractile force
Increased electrical activity in the myocardium
Increased systemic vascular resistance
Increased blood pressure
Increased automaticity

6

Epinephrine dosage for cardiac arrest

1.0 mg of 1:10,000 IV or IO push (can be repeated every 3 to 5 minutes).
Endotracheal dosage increased by 2 to 2.5 times IV dosage.

7

CPR Quality

Push hard (2 inches or more) and fast (100 or more per minute) and allow complete chest recoil.

8

Compression to Ventilation Ratio

30:2 compression-ventilation ratio if no advanced airway is in-place.

9

Return of Spontaneous Circulation (ROSC) pETCO2

Typically 40 mm Hg or more.

10

Atropine

Anticholinergic, parasympatholytic (anti-cholinergic) derived from parts of the Atropa belladonna plant. It is used to increase the heart rate. It has positive chronotropic effects with little to no inotropic effects.

11

Amiodarone indications?

Stable, irregular, narrow-complex tachycardia (A-fib)
Stable, regular, narrow-complex tachycardia
To control rapid ventricular rate due to accessory pathway

12

Amiodarone contraindications?

Cardiogenic shock
Sinus bradycardia
2nd and 3rd degree AV block

13

Atropine indications are...

hemodynamically significant bradycardia with a pulse.

14

Atropine contraindications are...

none emergency situations. Be cautious of coronary artery disease, 2nd and 3rd degree AV blocks.

15

Atropine side effects are...

blurred vision, dilated pupils, dry mouth, tachycardia, drowsiness, and confusion.

16

Atropine dosage

0.5 mg IV push (can be repeated every 3 to 5 minutes for a maximum dose of 3 mg)

17

Treatment for high degree heart block...

begin transcutaneous pacing. Target pacing should by 80 joules and 80 bpm.

18

Synchronized cardioversion dosages

Narrow regular: 50-100 joules
Narrow irregular: 120-200 joules
Wide regular: 100 joules
Wide irregular: defibrillation dose (NOT synchronized)