ACLS

Question 1

Epinephrine dose

Answer 1

1mg every 3-5 minutes

Question 2

Vasopressors used during cardiac arrest

Answer 2

• Epinephrine 1mg

- Vasopressin 40 units IV/IO

Question 3

Antiarrhythmic agents

Answer 3

• Amiodarone 300mg IV/IO push, second dose 150mg
• Lidocaine 1-1.5 mg/kg, repeat at 0.5-0.75 mg/kg IV/IO over 5-10 minute intervals to a maximum of 3 mg/kg
• Magnesium sulfate 1-2gs diluted in 10mL over 5-20 minutes

Question 4

Ventilation CO2

Answer 4

• PETCO2 35-40 mm Hg

- PACO2 40-45 mm Hg

Question 5

ROSC hypotension

Answer 5

• IV bolus 1-2L normal saline or LR
• Epinephrine 0.1-0.5 mcg/kg per minute
• Dopamine 5-10 mcg/kg per minute IV infusion titrate to achieve systolic of 90 or more (for all of these)
• Norepinephrine 0.1-0.5 mcg/kg pr minute

Question 6

H’s and T’s for PEA

Answer 6

H's
-Hypovolemia
-Hypoxia
-Hydrogen ion (acidosis)
-Hyper/Hypokalemia (potassium)
-Hypothermia
T's
-Tension pneumothorax 
-Tamponade (cardiac)
-Toxins
-Thrombosis (pulmonary)
-Thrombosis (coronary)

Question 7

Treatment of an MI

Answer 7

-Aspirin 160-325mg chewable aspirin
-Nitro 1 tablet every 3-5 minutes or one “spray”
up to 3 doses and make sure the BP stays above 90
-Morphine according to protocol and med control

Question 8

Bradycardia

Answer 8

• Atropine IV dose 0.5mg bolus repeat every 3-5 minutes up to 3mg
• Dopamine IV infusion 2-10mcg/kg per minute
• Epinephrine IV infusion 2-10 mcg per minute