Acls Drug Dose

Front 1

Adenosine

Back 1

-Pt should be in Tredelenburg position before administration.
-Initial bolus of 6mg rapid IVP than elevate the extremity.
-A second dose of 12mg may be given in 1 to 2 minutes if needed.
-A third dose of 12mg may be given in 1 to 2 minutes if needed.

Front 2

Amiodarone

Back 2

-Cardiac arrest unresponsive to CPR, shock, or vasopressor: 300mg IVP follow by 150mg IVP in 3 to 5 minutes.
-Recurrent Ventricular Arrhythmias with a max of 2.2g IV/24 hr
Rapid infusion: 150 mg over first 10 mins (15mg/min). May repeat every 10 mins if needed.
Slow infusion: 360mg IV over 6 hours (1mg a min.
Maintenance infusion: 540mg over 18hrs (0.5mg/min)

Front 3

ASA

Back 3

-160 to 325mg nonenteric coated tablet ASAP (chewable preferred)
-May use rectal suppositories of 300mg if pt cannot swallow.

Front 4

Atropine Sulfate

Back 4

-Asystole or PEA 1mg IVP repeat in 3 to 5 mins with max at 3mg
-Bradycardia 0.5mg every 3-5 mins with a max at 0.04mg/kg (total 3mg). May use shorter dose intervals and larger dose in severe case.
-Endotracheal Administration: 2-3mg diluted in 10mL of NS.
-Organophosphate Poisoning: Extremely large doses (2-4mg or higher) may be needed.

Front 5

Dopamine

Back 5

-Usual dose is 2 to 20mcg/kg per min
-Titrate to pt's response, taper slowly

Front 6

Epinephrine

Back 6

-Cardiac Arrest
IV/IO 1mg (10mL of 1:10,000 solution) every 3 to 5 mins during resuscitation. Follow dose with 10 to 20mL of flush elevate extremity.
Higher doses: For special cases like Beta Blocker or calcium channel blocker OD up to 0.2mg/kg
Continuous infusion: 1mg of Epi 1:1000 to 500mL of NS or D5W with a rate or 1mcg/min titrated to effect typically 2 to 10mcg/min
Endotracheal route: 2 to 2.5mg diluted in 10mL of NS
-Profound bradycardia or hypotension 2-10mcg/min infusion;titrate to pts response

Front 7

Furosemide

Back 7

-0.5 to 1 mg/kg given over 1 to 10 minutes
-If no response double does to 2mg/kg over 2 mins
-For new onset of pulmonary edema with hypovolemic consider <0.5mg/kg slow IVP.

Front 8

Lidocaine

Back 8

-Cardiac Arrest from VF/VT
Initial dose: 1 to 1.5mg/kg IV/IO
For refractory VF: Additional 0.5 to 0.75 IVP repeat in 5 to 10 mins, max of 3 doses with total of 3mg/kg
Endotracheal: 2 to mg/kg
-Perfusing Arrhythmias: For stable VT, or significant ectopy dose from 0.5 to 0.75mg and up to 1 to 1.5mg/kg may be used.
Repeat 0.5 to 0.75 mg/kg every 5 to 10 mins with a max of 3mg/kg.
-Maintenance infusion: 1 to 4mg/min (30 to 50 mcg/min) dilute in NS D5W or D10W.

Front 9

Morphine Sulfate

Back 9

Initial 2 to 4mg q 5 to 30 mins
Repeat dose of 2 to 8 mg at 5 to 15 min intervals.

Front 10

Nitroglycerin

Back 10

-Tablet (0.3-0.4mg) 1 q 5 mins
-Spray 1 to 2 sprays for 0.5mg q 5 mins
Given until pain is relieved

Infusion: Begin at 10 to 20 mcg titrate to effect, increase by 5 to 10 mcg/min every 5 to 10 mins until desired efect.
IV bolus 12.5 to 15 mcg if no SL or spray given.

Front 11

Sodium Bicarbonate

Back 11

1mEq/kg IV bolus

Front 12

Vasopressin

Back 12

One dose in cardiac arrest as either 1st or 2nd dose of epi at 40 Units IV/IO