What drug is used for ACLS tachycardia?
Adenosine is the primary drug used in the treatment of stable narrow-complex SVT (Supraventricular Tachycardia). Now, adenosine can also be used for regular monomorphic wide-complex tachycardia. When given as a rapid IV bolus, adenosine slows cardiac conduction particularly affecting conduction through the AV node.
When do you give amiodarone ACLS?
For cardiac arrest, amiodarone is used after the third shock for ventricular fibrillation and ventricular tachycardia that is unresponsive to shock delivery, CPR, and vasopressors. For tachycardia with a pulse, amiodarone may be considered, and expert consultation should be obtained prior to its use.
What do you give in code blue?
Cardiac arrest – vf – pulseless vt
| Epinephrine | 1 mg q3-5 min. Drip: 0.1- 0.5 mcg/kg/min |
|---|---|
| Amiodarone | 300mg IV over 1-2 seconds May repeat 150 mg IV x 1. |
| Lidocaine | 1 – 1.5 mg/kg over 2-3 min, then may repeat 0.5-0.75 mg/kg in 5-10 min. Max: 3 mg/kg. |
| Calcium Chloride | 5-10 ml (0.5-1 gm) over 2-5min |
| Dopamine | 5 – 10 mcg/kg/min. |
What do you give after epinephrine?
A: After the first dose of epinephrine, it is essentially on its own time table. Just remember to give epinephrine every 3-5 minutes after the first dose. Amiodarone is given after the 3rd (300mg) shock and any time after 4th (150mg) shock.
Is lidocaine used in ACLS?
Lidocaine is now included with amiodarone in the ACLS algorithm for treatment of shock-refractory VF/pVT (Figures 1 and 2). The recommended dose of lidocaine is 1.0 to 1.5 mg/kg IV/IO for the first dose and 0.5 to 0.75 mg/kg IV/IO for a second dose if required.
Why is vasopressin not used in ACLS?
Secondly, similar to atropine, vasopressin has been removed from the ACLS algorithm not because of evidence showing harm, but rather evidence showing a lack of clear benefit.
Why is amiodarone used in a code?
What are the primary ACLS drugs?
The “primary drugs” are the medications that are used directly in an ACLS Algorithm. Here are the Primary ACLS drugs broken down by ACLS Algorithm.
What are the indications for ACLS and Pals?
Indications in ACLS and PALS: 1 Ventricular tachycardia with a pulse. 2 Supraventricular tachycardia. 3 Atrial fibrillation. 4 Atrial flutter.
What is Adenosine used for in ACLS?
Adenosine is one of the most commonly used medications in the ACLS and PALS algorithms. It is an antiarrhythmic medication used to treat various forms of supraventricular tachycardia after vegal maneuvers have failed. The delivery of adenosine in ACLS and PALS causes a transient heart block in the atrioventricular (AV) node.
How many IVs do you give an ACLS patient?
Adults ACLS: 1 st dose: Give 6mg IV/IO over 1-3 seconds, immediately followed by 20ml of NS by rapid IV/IO. 2 nd dose: If the patient still has an SVT rhythm 1-2 minutes later give 12mg IV/IO over 1-3 seconds, immediately followed by 20ml of NS by rapid IVP/IO.