ACLS CLASS Flashcards Preview

ACLS > ACLS CLASS > Flashcards

Flashcards in ACLS CLASS Deck (31):
1

A person is in VF/VT. CPR has been initiated; epinephrine, vasopressin & shocks have been unsuccessful. What drug do u prescribe now?

Amiodarone 300 mg IV/IO OR lidocaine 1-1.5mg/kg

2

For Torsades de pointes what should you do

Stop all antiarrthymics.... GIVE MAGNESIUM OR EPINEPHRINE

3

Lidocaine dosage

Initial dose- 1-1.5 mg/kg IV
Repeat dose- 0.5- 0.75 mg/kg IV

4

How often can you repeat lidocaine

Every 5-10 minutes

5

What is the maximum dose of lidocaine that can be administered

3mg/ kg

6

What is the cardiac arrest dose of magnesium

1-2 g over 5-20 minutes

7

What is the dosage for magnesium in a person suffering from Torsades

1-2 g IV/IO over 5-60 minutes

8

For any heart blocks what drug should be administered

Atropine

9

For WIDE SVT, what drug should be administered

Amiodarone

10

For SVT NARROW what drug should be administered

Adenosine

11

For narrow SVT do you cardiovert

YES. PREPARE A SYNCHRONIZED CARDIOVERSION

12

Atropine dosage

0.5 mg bolus
Repeat every 3-5 min for a max of 3 mg.

13

If a person Is hypotensive how much dopamine should be administered

2-20 mcg/kg per minute

14

If a person is suffering from bradycardia how much dopamine should be administered

2-10 mcg/kg per minute

15

What are dosages of adenosine

Administer rapidly IV push over 1-3 sec. initial bolus of 6 mg. ( may repeat with 12 mg twice only)

16

How many joules should be given for A FIB

120-200

17

How many joules should be given for A FLUTTER or SVT

50-100

18

How many joules should be given for MONOMORPHIC VT

100

19

For synchronized cardioversion what is best practice

Premedicate with both a sedative and a analgesic!

20

Name 3 sedatives

Diazepam
Midazolam
Etomidate

21

Name 3 analgesics

Fentanyl
Morphine
Hydromorphone

22

What is used for repercussion therapy and ACS adjuncts

Morphine
Oxygen
Nitroglycerin
Aspirin 160-325 mg.

23

Give examples of when a ASPIRIN OR CLOPIDOGREL should be used

STEMI
NSTEMI
UNSTABLE ANGINA
UA UNDERGOING PCI

24

What should be administered to all patients with suspected ischemic pain

Aspirin 160-325 mg chewed
2-4 baby aspirin can be given

25

Nitroglycerin actions

Decreases pain of ischemia
Increases venous dilation
Decreases venous blood return to heart
Decreases preload and cardiac oxygen consumption
Dilates coronary arteries

26

Nitroglycerin sublingual dosages

Sublingual 0.3 - 0.4 mg REPEAT EVERY 5 minutes

27

Nitroglycerin spray inhaler dosages

1-2 metered doses at 5 min intervals
Max of 3 sprays within 15 min

28

Nitroglycerin IV INFUSION dosage

12.5 - 25 mcg bolus/ 10-20 mcg/min infusion titrated

29

When Is nitroglycerin therapy contraindicated

Systolic BP LESS THAN 90

30

When is a good time to administer morphine

Administer to all patients with suspected ischemic pain unresponsive to oxygen and nitrates
Reassess and repeat VS between dosages

31

What is the initial dose of morphine

2-4 mg IV over 1-5 min
Administer slowly