Course AHA ACLS
Drugs
EKG
Algoritms
Defibrillation and Conversion
P-P progressive widening = 2 nd degree type 1
P-P interval regular dissociated from QRS = 2nd degree HB = type II
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DRUGS
Adenosine
6mg rapid IV push
follow with 20ccs saline half life very short few seconds)
After 2 minutes 2nd dose 12mg iv push follow with saline
Adenosine –
AD Nose six
Narrow complex tachycardia vagal then
6mg rapid bolus rapid saline flusf 12 12 v short half life
Amiodorone
150 mg over 10 minutes
If VT occurs Repeat
Amiodorone
V tach and V fib unresponsive to shock epi and vasopressin
300 mg iv push followed by 20ccs saline
150 over 10 minutes
then 1mg/min for 6 hrs then .5mg min for 18 hours
” AMIODARONE HYDROCHLORIDE 150 MG/3 ML IS INCOMPATIBLE WITH SALINE AND SHOULD BE ADMINISTERED SOLELY IN 5% GLUCOSE SOLUTION.”
Wide complex
Aspirin
160-325mg tablet
Atropine
.5mg iv push IV for symptomatic bradycardia
blocks parasympathetic
Max 3mg
Atropine 1mg iv every 3-5mins (up to 3 doses)
Atropine
is 0.5 mg IV every 3-5 minutes as needed, total max 3mg
Diltiazam
5-15mg/hr
Dopamine
10-20 migs per kig
2nd line for bradycardia after atropine 10-20mcg/kg/min
Dobutamine
inotrope 2-20mcg/kg/min
Epi
1mg (1/10,000)/3-5min
Epinephrine
Pulseless arrest, bradycardia PEA asystole tachy pulseless v tach and V fib
1mg every 3-5mins NO MAX
2-10mcg/min
Lidocaine alternative for amiodorone V fib 1mg/kg IV push
Magnesium sulphate
antiarrhythmic polymorph VT and Torsadesslows rate SA node 1-2mg iv
Morphine
IV morphine 2–4 mg IV at 5–15‐minute intervals with increments of 2–8 mg IV
TNG sublingual spray every 3-5mins for total of 3 doses
Ask about Viagra or Cialis
Vasopressin
2nd to epi pulseless arrest
40 Units
Vasopressin
1 dose of 40U iv/io to replace 1st or 2nd dose of epi
Verapamil
V for 5 rapid HR bt give slowly
calcium channel blocker Irregular or regular narrow complex tachycardia
5mg SLOWLY over 3-5min