Acls drugs 2014
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Transcript of Acls drugs 2014
ACLS Drugs
Qassim CPR Center
V F & Pulseless V T Epinephrine
Vasopressin
Amiodarone
Lidocaine
Magnesium
PEA & A Systole
Epinephrine
Vasopressin
Tachycardia Medications
Adenosine
Diltiazem
Beta Blockers
Amiodarone
Digoxin
Verapamil
Magnesium Sulphate
Bradycardia Medications
Atropine
Epinephrine
Dopamine
Acute Coronary Syndrome Treatment
Oxygen
Aspirin
Nitroglycerine
Morphine
Heparin
Beta Blockers
Fibrinolytic Therapy
Adenosine First drug of choice for all stable marrow QRS Complex tachycardia. Half life is 5 seconds. 3 mg/ml in 2 ml per each vial. 6 mg rapid bolus IV/IO initially over 1 – 3 seconds. 12 mg rapid bolus, observed 1 – 2 minutes. Repeat another 12 mg if not successful
Amiodarone Indication
Recurrent VF. Unstable VT. Stable VT. Shock refractory VF/VT after epinephrine.
Dose for cardiac arrest (VF/VT), 300 mg rapid infusion diluted in 20-30 ml of D.W 5 % over 10 – 20 minutes, then 900 mg over 24 hours as post resuscitation. for stable VT/ Wide QES Complex Tachycardia, 300 mg IV infusion over 20 – 60 minutes, then 900 mg over 24 hours in CCU.
Atropine First drug of choice for treating bradycardia. can be given by IV, IO and through Endotracheal Tube. doses:
500 microgram / ml/ IV every 3 – 5 minutes as needed, the maximum total dosages is 3 mg (6 ampules)
Vasopressin can be given through (IV, IO, ETT).
40 Units IV/IO push, may be given for once only as a replacement for the first or second dose of epinephrine.
Diltiazem Used for control the ventricular response rate in patients with Atrial Flutter or Atrial Fibrillation. 15 – 20 mg IV over 2 minutes. can repeat 20 – 25 mg over 2 – 5 minutes.
Dopamine Second line drug for symptomatic Bradycardia when Atropine is not effective. 2 – 10 microgram / kg/ min infusion
Lidocaine Indications
Wide QRS Complex. Cardiac Arrest from VF/ Pulseless VT
Lidocaine Doses Cardiac arrest from VF/ Pulseless VT:
Initial dose, 1 – 1.5 mg / kg/IVStable VT, Wide QRS Tachycardia
From 0.5 – 0.75 mg / kg and up to 1 – 1.5 mg/ kg. Repeat 0.5 – 0.75 mg / kg every 5 – 10 minutes with maximum total dose of 3 mg / kg.
Epinephrine Indications
VF. VT. PEA. Cardiac Arrest. A Systole. Bradycardia.
Dose
IV 1 mg (10 ml of 1:10,000) followed by 20 ml Flush, At intervals of 3 - 5 min
Infusion : 1 mg (1 ml of 1:1000 Solution) added to 500 ml N/S or 5% D/W, run at 2 – 10 mcg/min. Titrate to 2 - 10 mcg/min.
can be given by IV, IO and ETT.
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