ACLS

Question 1

What are the the H’s and T’s

Answer 1

Hypovolemia
Hypoxia
Hydrogen Ions (acidosis)
Hypo / Hyperkalemia
Hypothermia
Tension Pneumothorax
Tamponande, Cardiac
Toxins
Thrombosis, pulmonary
Trhombosis, conary

Question 2

Sychronized Cardioversion Narrow Regular

Answer 2

50J-100J

Question 3

Sychronized Cardioversion Narrow Irregular

Answer 3

120J-200J (biphasic) or 200J (Monophasic)

Question 4

Sychronized Cardioversion Wide Regular

Answer 4

100J

Question 5

Sychronized Cardioversion Wide Irregular

Answer 5

Defib Dose Not Synched

Question 6

When should Adenosine be used

Answer 6

Unstable Tachy if wave is narrow and regular
Stable Tachy if wave is narrow and regular
Stable Tachy if wave is wide, regular, and monomorphic

Question 7

Adenosine

Answer 7

For Tachy
6mg, 12mg, 12mg (rapid IV push, Rapid print)
Stops conduction through AV nodal tissue

Question 8

What are the 3 antiarrhythmic infusions for stable wide QRS Tachy

Answer 8

Procainamide IV
Amiodarone IV
Sotalol IV

Question 8

Amiodarone IV dose for Tachy

Answer 8

First Dose 150mg over 10 minutes
Repeat if VT occurs
Followed by maintenance infusion
1mg/min for first 6 hours

Question 9

Procainamide IV dose for Tachy

Answer 9

20-50mg/min until arrhythmia is suppressed, hypotension ensues, QRS duration increases by 50%, or maximum dose of 17mg/kg is given

Maintence infusion 1mg/min for first 6 hours.

Question 10

Sotalol IV dose for Tachy

Answer 10

100 mg (1.5 mg/kg) over 5 minutes. Avoid if prolonged QT.

Question 11

Unstable Brady Pt Algorithm

Answer 11

.5 mg Atropine (repeat every 3-5 min)
max dose of 3mg

Pacing 70 BPM increase miliamps until electrical capture. check for mechanical capture (pulse)

2-10 mcg/kg /minute of Dopamine IV

2-10 mcg per minute of Epinephrine IV

Question 12

Shock energy for DEFIB

Answer 12

120J-200J for biphasic (initial dose)
Use max if unknown

360J for monophasic

Question 13

Cardiac arrest shockable rhythm algorithm

Answer 13

CPR 2 min (IV/IO access)
Analyze
Defib
Epi 1mg 1:10,000 IVP
CPR 2 min
Analyze
Defib
Amioderone 300mg IVP
CPR 2 min
Analyze
Defib
Epi 1mg 1:10,000 IVP
CPR 2 min
analyze
Defib
Amioderone 150mg IVP
CPR 2 min
analyze
Epi 1mg 1:10000IVP

Question 14

Amount of fluid in a bolus

Answer 14

20mL / KG

Question 15

End Tidal CO2 target

Answer 15

35-40 mm Hg

Question 16

Amount of fluid in cardiac bolus

Answer 16

250ml

Question 17

Epinephrine

Answer 17

Class: Sympathomimetic

MOA: Vasoconstrictor, bronchial dialator,

Contrindications, Hypertension, hypothermia, pulmonary edema, myocardial ischemia, hypovolemic shock

Dose:
Allergic reactions
.3-.5 mg (1:1,000) IM
1ml of 1:10,000 IV/IO over 5 minutes

Pediactric Allergic Reactions
.01 mg/kg of 1:1,000 IM

Cardic Arrest
1 mg of 1:10,000 IVP every 3-5 minutes

As a Vasopressor
2-10 mcg per minute

Question 18

Atropine

Answer 18

Class: Anticholinergic parasympatholytic

.5mg 1st dose, 1mg 2nd dose

Question 19

Fast, Wide, irregular

Answer 19

Think Rapid A-Fib Give Cardizem

Question 20

Cardizem

Answer 20

.25mg/kg 1st dose, .35mg/kg 2nd dose

For rapid A-Fib

Question 21

Dopamine

Answer 21

2-20mcg /kg/min

Question 22

Vasopressin

Answer 22

40 units

Can be substuted for first or second dose of eppi in cardiac arrest algorithm