Acls Algorithm

Front 1

What is the algorithm for tachy w/ pulse?

Back 1

ABC - O2, EKG, IV
Narrow and Reg: vagal, adenosine 6+12+12.
Wide and Reg: amiodarone 150 over 10 mins MR up to 2.2g/ 24hr. Sync
Wide and Irreg - expert consult

Front 2

Pulseless Arrest

Back 2

BLS, help, CPR (30 -2) for 2mins, O2
VF/VT: 1 shock, 5 cycles of CPR, then 1 shock, CPR 5 cycles then vasopressin 40IU once or epi 1mg q 3-5 min. CPR 5 cycles then 1 shock and consider amiodarone 300 mg IV X1 MR at 150mg max dose 2.2 mg/kg, or lido 1-1.5mg/kg MR at 1/2 the dose up to 3mg/kg. Consider MG 1-2 mg IV

Front 3

Asystole/PEA

Back 3

CPR
epi 1mg MR Q 3-5 min or vasopressin 40 IU once
Consider atropine 1mg MR Q 3-5 min up to 3 doses

Front 4

Brady <60 w/ poor perfusion

Back 4

ABC, O2, EKG IV. Transq pacing, atropine 0.5 up to 3mg. Epi 2 -10 mcg/min or dopamine 2-10 mcg/min while waiting for pacer.

Front 5

Name some causes for PEA or Brady

Back 5

hypovol, hypoxia, acidosis, >K, < Glu, hypothermia, toxins, tamponade, tension pneumo, thrombosis, trauma

Front 6

Algorithm for ACS w/ cp suggestive of ischemia

Back 6

ABC, O2, ASA, TNG, MS, EKG
If STEMI or new LBBB: add BB,plavix, and heparin
If SX < 12 hours old: add reperfusion, ACEI and HMG CO A reductase inhibitor