ACLS Heartcode
1. in cardiac arrest when do you first introduce medical intervention? which drug
<ANS> after 2 rounds of CPR/shock
after 2nd shock give 1 mg epinephrine every 3-5 minutes
2. when do you introduce amiodarone during cardiac arrest <ANS> after the
3rd shock give 300 mg bolus of amiodarone
if second dose is needed give 150mg as second dose
3. what rhythms are shockable in cardiac arrest <ANS>
VF VT
4. what rhythms are not shockable in cardiac arrest <ANS>
asystole PEA
5. if you are in an unshockable rhythm arrest when do you give epi <ANS> 1mg epi
every 3-5 minutes after 1st round of CPR
6. what do you do after return of spontaneous circulation <ANS> maintain O2 sat at
94%
treat hypotension (fluids vasopressor) 12
lead EKG
if in coma consider hypothermia
, c
if not in coma and ekg shows STEMI or AMI consider re-perfusion
7. what are the 5 h's and 5 t's <ANS>
hypovolemia hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac toxins
thrombosis, pulmonary
thrombosis, coronary
8. how do you treat non-symptomatic bradycardia <ANS> monitor and observe
9. what constitutes symptomatic bradycardia <ANS>
hypotension altered mental status
signs of shock chest
pain
acute heart failure
10. how do you treat symptomatic bradycardia <ANS> 1. give 0.5mg atropine every 3-5
mins to max of 3mg
, c
if that doesn't work try one of the following <ANS>