Commonly Used Medications in ACLS: Adenosine, Amiodarone, Atropine, Dopamine, Epinephrine

Adenosine is used for SVT, Amiodarone for VT/VF, Atropine for bradycardia, Dopamine for shock, and Epinephrine for cardiac arrest. Each medication has specific dosages and side effects. These drugs play crucial roles in advanced cardiac life support scenarios.

• Medications
• ACLS
• Adenosine
• Amiodarone
• Atropine
• Dopamine
• Epinephrine

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Uploaded on Jul 29, 2024 | 8 Views

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1. Commonly Used Medications in ACLS .

3. Adenosine Uses : Supraventricular Tachycardia (SVT) Dosage : 1st dose = 6 mg rapid IV push followed by saline bolus, 2nd dose = 12 mg rapid IV push in 1-2 minutes (double syringe) Side Effects : Headache, dizziness, metallic taste, dyspnea, hypotension, bradycardia or palpitations, nausea, flushing, sweating

5. Amiodarone Uses : Unstable VT with pulses, VF, VT without pulse and unresponsive to shock Dosage : 300 mg rapid bolus with 2nd dose of 150 mg if necessary to a maximum of 2.2 grams over 24 hours Side Effects : significant hypotension, dizziness bradycardia, torsades de pointes, tremors

7. Atropine Uses : Symptomatic bradycardia, organophosphate overdoses Dosage : Bradycardia: 0.5 mg IV every 3-5 minutes with 3 mg max dose; May be given by ETT Side Effects : flushing, blurred vision, dry mouth, photophobia, pupil dilation, constipation, urinary retention

9. Dopamine Uses : Can be given in bradycardia after Atropine, Can be given for Systolic BP < 100 mm Hg with signs of shock Dosage : 2 to 20 mcg/kg per minute infusion titrated to response Side Effects : Headache, palpitations, PVC, VT, SVT, nausea/vomiting

11. Epinephrine Uses : Cardiac arrest, Anaphylaxis, Symptomatic bradycardia after atropine, Shock when pacing and atropine are not effective Dosage : (1:1000) per ETT every 3 to 5 minutes; follow with 0.1-0.5 mcg/kg/min infusion titrated to response Symptomatic bradycardia or shock: 2-10 mcg/minute infusion titrated to response Cardiac arrest: 1.0 mg (1:10000) IV or 2-2.5 mg Side Effects : Tremors, dizziness, SVT, VT, palpitations, chest pain, hypertension, nausea, vomiting, hyperglycemia, hypokalemia, vasoconstriction

13. Lidocaine Uses : Cardiac arrest from VF or Ventricular Tachycardia, Wide complex tachycardia (QT prolong) Dosage : Cardiac Arrest: 1-1.5 mg/kg IV bolus; may repeat twice at half dose in 5-10 minutes to total of 3mg/kg; followed with infusion of 1-4 mg per minute infusion Wide complex tachycardia with pulse: 0.5-1.5 mg/kg IV; may repeat twice at half dose in 5-10 minutes to total of 3mg/kg; followed with infusion of 1-4 mg per minute infusion Side Effects : Seizures, bradycardia, dyspnea, respiratory depression, nausea, vomiting, headache, dizziness, tremor, drowsiness, tinnitus, blurred vision, hypotension, rash

15. Magnesium Sulfate Uses : Torsades de pointes; Hypo- magnesemia; Digitalis toxicity Dosage : Cardiac arrest due to hypomagnesemia or Torsades: 1-2 gram IV bolus Torsades with a pulse: 1-2 gram IV over 5-60 minutes followed by infusion at 0.5-1 gram per hour IV Side Effects : confusion, sedation, weakness, respiratory depression, hypotension

16. T H A N K Y O U