ACLS Skills Lab Session 5
___________________ in brief terminates all electric interest - ANS-defibrillation
ACS control: meds - ANS-MONA- morphine (IV), oxygen, nitroglycerin (SL tab/spray), ASA
(PO,PR-in step with rectum)
ACS control: Reperfusion remedy - ANS-1. PCI- primary percutaneous coronary
intervention;
-door-to-balloon purpose 90 min
-trx of desire!!
2. Fibrinolytics
-door-to-needle aim 30 min
-alteplase, tenecteplase, reteplase
acute coronary syndromes - ANS-1. Risky angina
2. Non-ST-elevation myocardial infarction (NSTEMI)
three. STEMI
adenosine dose RAPID IV/IO - ANS-6 mg, then 12 mg
adenosine indicators - ANS-supraventricular tachycardia
adenosine moa - ANS-activates K+ current specially in AV node; decreases Ca2+ currents
change routes of admin: IO (intraosseous) - ANS--peripheral access
-</= 24 hrs
trade routes of administration: ET (endotracheal) - ANS-LEAN-
1. Lidocaine
2. Epinephrine
three. Atropine
four. Naloxone
amiodarone dose IV/IO - ANS-300 mg bolus, 150 mg x 1 in 10 min
infusion: 1 mg/min x 6 hrs, 0.Five mg/min x 18 hrs
amiodarone indicators - ANS-1. Continual VT/VF
2. Hemodynam strong VT
three. AFib conversion
amiodarone moa - ANS-Class III anti arrhythmic
asystole management - ANS-1. CPR
, 2. Epinephrine 1:10,000 (0.1 mg/ml)
1 mg IV/IO q 3-5 min
three. Treat reversible causes (H's & T's)
atropine dose IV - ANS-zero.5-1 mg q five min (max: 3 mg); 1 field = 1 mg
atropine indication - ANS-symptomatic bradycardia
atropine moa - ANS-aggressive muscarinic receptor antag
Bradycardia w a pulse HR: - ANS-<50 BPM
bradycardia w pulse management: - ANS-1. Atropine (increases SA node firing = increases
HR)
2. Transcutaneous pacing
3. Vasopressor support (dopamine, epinephrine)
calcium chloride dose IV - ANS-500-1000 mg (8-16 mg/kg); 1 box = 1000 mg
calcium chloride indications - ANS-cardiac arrest (secondary to hyperkalemia, hypocalcemia,
or CCB overdose)
calcium chloride moa - ANS-increase myocardial contractility
cardiac arrest - ANS-sudden loss cardiac function due to electrical malfunction (abnormal
rhythm/ceased blood flow)
code-card meds: antiarrhythmics - ANS-1. Amiodarone
2. Adenosine
3. Lidocaine
4. Magnesium sulfate
code-cart med: vasopressors - ANS-1. Epinephrine
2. Dopamine
3. Norepinephrine
code-cart meds: miscellaneous - ANS-1. Calcium chloride
2. Dextrose 50%
3. Sodium bicarbonate 8.4%
4. Atropine
code-cart meds: reversal agents - ANS-1. Naloxone
2. Flumazenil
CPR depth - ANS-at least 2 inches
CPR key points - ANS--allow complete recoil
-minimize interruptions
___________________ in brief terminates all electric interest - ANS-defibrillation
ACS control: meds - ANS-MONA- morphine (IV), oxygen, nitroglycerin (SL tab/spray), ASA
(PO,PR-in step with rectum)
ACS control: Reperfusion remedy - ANS-1. PCI- primary percutaneous coronary
intervention;
-door-to-balloon purpose 90 min
-trx of desire!!
2. Fibrinolytics
-door-to-needle aim 30 min
-alteplase, tenecteplase, reteplase
acute coronary syndromes - ANS-1. Risky angina
2. Non-ST-elevation myocardial infarction (NSTEMI)
three. STEMI
adenosine dose RAPID IV/IO - ANS-6 mg, then 12 mg
adenosine indicators - ANS-supraventricular tachycardia
adenosine moa - ANS-activates K+ current specially in AV node; decreases Ca2+ currents
change routes of admin: IO (intraosseous) - ANS--peripheral access
-</= 24 hrs
trade routes of administration: ET (endotracheal) - ANS-LEAN-
1. Lidocaine
2. Epinephrine
three. Atropine
four. Naloxone
amiodarone dose IV/IO - ANS-300 mg bolus, 150 mg x 1 in 10 min
infusion: 1 mg/min x 6 hrs, 0.Five mg/min x 18 hrs
amiodarone indicators - ANS-1. Continual VT/VF
2. Hemodynam strong VT
three. AFib conversion
amiodarone moa - ANS-Class III anti arrhythmic
asystole management - ANS-1. CPR
, 2. Epinephrine 1:10,000 (0.1 mg/ml)
1 mg IV/IO q 3-5 min
three. Treat reversible causes (H's & T's)
atropine dose IV - ANS-zero.5-1 mg q five min (max: 3 mg); 1 field = 1 mg
atropine indication - ANS-symptomatic bradycardia
atropine moa - ANS-aggressive muscarinic receptor antag
Bradycardia w a pulse HR: - ANS-<50 BPM
bradycardia w pulse management: - ANS-1. Atropine (increases SA node firing = increases
HR)
2. Transcutaneous pacing
3. Vasopressor support (dopamine, epinephrine)
calcium chloride dose IV - ANS-500-1000 mg (8-16 mg/kg); 1 box = 1000 mg
calcium chloride indications - ANS-cardiac arrest (secondary to hyperkalemia, hypocalcemia,
or CCB overdose)
calcium chloride moa - ANS-increase myocardial contractility
cardiac arrest - ANS-sudden loss cardiac function due to electrical malfunction (abnormal
rhythm/ceased blood flow)
code-card meds: antiarrhythmics - ANS-1. Amiodarone
2. Adenosine
3. Lidocaine
4. Magnesium sulfate
code-cart med: vasopressors - ANS-1. Epinephrine
2. Dopamine
3. Norepinephrine
code-cart meds: miscellaneous - ANS-1. Calcium chloride
2. Dextrose 50%
3. Sodium bicarbonate 8.4%
4. Atropine
code-cart meds: reversal agents - ANS-1. Naloxone
2. Flumazenil
CPR depth - ANS-at least 2 inches
CPR key points - ANS--allow complete recoil
-minimize interruptions
