ACLS Drugs

Qassim CPR Center

V F & Pulseless V T Epinephrine

Vasopressin

Amiodarone

Lidocaine

Magnesium

PEA & A Systole

Epinephrine

Vasopressin

Tachycardia Medications

Adenosine

Diltiazem

Beta Blockers

Amiodarone

Digoxin

Verapamil

Magnesium Sulphate

Bradycardia Medications

Atropine

Epinephrine

Dopamine

Acute Coronary Syndrome Treatment

Oxygen

Aspirin

Nitroglycerine

Morphine

Heparin

Beta Blockers

Fibrinolytic Therapy

Adenosine First drug of choice for all stable marrow QRS Complex tachycardia. Half life is 5 seconds. 3 mg/ml in 2 ml per each vial. 6 mg rapid bolus IV/IO initially over 1 – 3 seconds. 12 mg rapid bolus, observed 1 – 2 minutes. Repeat another 12 mg if not successful

Amiodarone Indication

Recurrent VF. Unstable VT. Stable VT. Shock refractory VF/VT after epinephrine.

Dose for cardiac arrest (VF/VT), 300 mg rapid infusion diluted in 20-30 ml of D.W 5 % over 10 – 20 minutes, then 900 mg over 24 hours as post resuscitation. for stable VT/ Wide QES Complex Tachycardia, 300 mg IV infusion over 20 – 60 minutes, then 900 mg over 24 hours in CCU.

Atropine First drug of choice for treating bradycardia. can be given by IV, IO and through Endotracheal Tube. doses:

500 microgram / ml/ IV every 3 – 5 minutes as needed, the maximum total dosages is 3 mg (6 ampules)

Vasopressin can be given through (IV, IO, ETT).

40 Units IV/IO push, may be given for once only as a replacement for the first or second dose of epinephrine.

Diltiazem Used for control the ventricular response rate in patients with Atrial Flutter or Atrial Fibrillation. 15 – 20 mg IV over 2 minutes. can repeat 20 – 25 mg over 2 – 5 minutes.

Dopamine Second line drug for symptomatic Bradycardia when Atropine is not effective. 2 – 10 microgram / kg/ min infusion

Lidocaine Indications

Wide QRS Complex. Cardiac Arrest from VF/ Pulseless VT

Lidocaine Doses Cardiac arrest from VF/ Pulseless VT:

Initial dose, 1 – 1.5 mg / kg/IVStable VT, Wide QRS Tachycardia

From 0.5 – 0.75 mg / kg and up to 1 – 1.5 mg/ kg. Repeat 0.5 – 0.75 mg / kg every 5 – 10 minutes with maximum total dose of 3 mg / kg.

Epinephrine Indications

VF. VT. PEA. Cardiac Arrest. A Systole. Bradycardia.

Dose

IV 1 mg (10 ml of 1:10,000) followed by 20 ml Flush, At intervals of 3 - 5 min

Infusion : 1 mg (1 ml of 1:1000 Solution) added to 500 ml N/S or 5% D/W, run at 2 – 10 mcg/min. Titrate to 2 - 10 mcg/min.

can be given by IV, IO and ETT.

Thank You Ahmad Thanin