ACLS DRUGS DOSAGES AND USES
• If SVT does not respond to Vagal maneuvers give in a large vein
over1 second.
Answer: Adenosine 6mg IV
• what do you do with the pt immediately after giving Adenosine 6mg IV?
Answer: -elevate the arm immediately
• If SVT does not convert within 1-2 minutes after 1st dose of Adeosine 6mg,give .
Answer: A second dose of Adenosine 12 mg IV.
• Adenosine increased AV block and will terminate approx. % of
reentryarrhythmias within minutes.
Answer: 90%
2 minutes
• What rhythms will Adenosine not terminate?
Answer: Atrial Flutter and Atrial Fibrillation
but it can slow down the HR so these rhythms can be identified.
• Adenosine is safe or unsafe during pregnancy?
Answer: SAFE
• Adenosine can cause so you should not give it to pt's with asthma orCOPD.
Answer: bronchospasm
• What is the initial recommended dose of Adenosine for the managementof SVT
unresponsive to Vagal Maneuver?
Answer: 6mg IV
• Sedatives that can be given before cardioversion (5):
Answer:
-Diazepam
-Midazolam
-etomidate
-methohexital
-propofol
• Antiarrhythmic drugs for tachy-arrhythmias:
Answer:
-Procainamide 20-50mg/minIV (max 17mg/kg IV)
, -Amiodarone 150mg IV over 10 minutes
-Sotalol 100mg (1.5mg/kg) IV over 5 minutes
• Maintenance dose for Procainamide (antiarrhythmic)
Answer: 1-4 mg/min IV
• Maintenance dose for Amiodarone (antiarrhythmic)
Answer: 1 mg/min IV for the 1st6 hours
• What is the recommended follow-up dose of Adenosine for the management of SVT
unresponsive to the first dose of Adenosine?
Answer: 12mg IV
• ROSC stands for...
Answer: Return of spontaneous circulation
• If the rhythm is analyzed as shockable on the defibrillator give mg of
IV during CPR after the 2nd shock.
Answer: 1mg IV of Epinephrine
• Repeat giving Epinephrine when a shockable rhythm can be read, every
to minutes.
Answer: 3-5 minutes
• while doing CPR with a shockable rhythm (VF or pulseless VT), consider giving or to
pull the pt out of the rhythm.
Answer: Amiodarone or Lidocaine
• Amiodarone should be given as a bolus dose of . Then consider 1 additional mg IV for
shockable rhythms in VF/pVT specifically.
Answer:
Amiodarone
300mg IV bolus
150 mg IV
• Lidocaine should be given as a first dose of .Then consider 1
additional doses of mg to mg IV at 5-10 minute intervals for shockable
rhythms in VF/pVT
Answer:
1-1.5 mg/kg IV
0.5-0.75 mg/kg IV
(max dose 3mg/kg)
• If SVT does not respond to Vagal maneuvers give in a large vein
over1 second.
Answer: Adenosine 6mg IV
• what do you do with the pt immediately after giving Adenosine 6mg IV?
Answer: -elevate the arm immediately
• If SVT does not convert within 1-2 minutes after 1st dose of Adeosine 6mg,give .
Answer: A second dose of Adenosine 12 mg IV.
• Adenosine increased AV block and will terminate approx. % of
reentryarrhythmias within minutes.
Answer: 90%
2 minutes
• What rhythms will Adenosine not terminate?
Answer: Atrial Flutter and Atrial Fibrillation
but it can slow down the HR so these rhythms can be identified.
• Adenosine is safe or unsafe during pregnancy?
Answer: SAFE
• Adenosine can cause so you should not give it to pt's with asthma orCOPD.
Answer: bronchospasm
• What is the initial recommended dose of Adenosine for the managementof SVT
unresponsive to Vagal Maneuver?
Answer: 6mg IV
• Sedatives that can be given before cardioversion (5):
Answer:
-Diazepam
-Midazolam
-etomidate
-methohexital
-propofol
• Antiarrhythmic drugs for tachy-arrhythmias:
Answer:
-Procainamide 20-50mg/minIV (max 17mg/kg IV)
, -Amiodarone 150mg IV over 10 minutes
-Sotalol 100mg (1.5mg/kg) IV over 5 minutes
• Maintenance dose for Procainamide (antiarrhythmic)
Answer: 1-4 mg/min IV
• Maintenance dose for Amiodarone (antiarrhythmic)
Answer: 1 mg/min IV for the 1st6 hours
• What is the recommended follow-up dose of Adenosine for the management of SVT
unresponsive to the first dose of Adenosine?
Answer: 12mg IV
• ROSC stands for...
Answer: Return of spontaneous circulation
• If the rhythm is analyzed as shockable on the defibrillator give mg of
IV during CPR after the 2nd shock.
Answer: 1mg IV of Epinephrine
• Repeat giving Epinephrine when a shockable rhythm can be read, every
to minutes.
Answer: 3-5 minutes
• while doing CPR with a shockable rhythm (VF or pulseless VT), consider giving or to
pull the pt out of the rhythm.
Answer: Amiodarone or Lidocaine
• Amiodarone should be given as a bolus dose of . Then consider 1 additional mg IV for
shockable rhythms in VF/pVT specifically.
Answer:
Amiodarone
300mg IV bolus
150 mg IV
• Lidocaine should be given as a first dose of .Then consider 1
additional doses of mg to mg IV at 5-10 minute intervals for shockable
rhythms in VF/pVT
Answer:
1-1.5 mg/kg IV
0.5-0.75 mg/kg IV
(max dose 3mg/kg)
