Dosages
Epi
CPR: 1 mg IV q3-5 minutes
Hypotension: 0.05 mcg/kg/min IV
Atropine
CPR: 0.5 mg/3-5 minutes (max dose of 3 mg)
Inotropes do what?
Alter the force of the hearts contraction
-positives strengthen
-negatives weaken
Magnesium SE
-Heart block
-Hypocalcemia
-Hyporeflexia
-Resp tract paralysis
Adenosine SE
-Cardiac arrest
-Complete AV block
-VT
-Bronchospasms
Amiodarone
Afib: 150 mg/10 minute -> 1 mg/min over 6 hrs -> 0.5 mg/min
ACLS: 300 mg IV -> 150 mg -> 1 mg/min x 6hrs -> 0.5 mg/min
Magnesium
ACLS: 1-2g/15 minutes
What meds can be used for bradyarrhythmias?
1. Atropine
2. Dopamine
3. Epi
Lidocaine SE
-Petechiae
-Methomoglobinemia
-Confusion (elderly)
Diltiazem SE
-Peripheral edema
-Cough
-Hepatotoxicity
Lidocaine
ACLS: 1-1.5 mg/kg @ 25-50 mg/min -> 0.5-0.75 mg/kg -> 1-4 mg/min -> reduce by 50% after 24 hrs
Adenosine
ACLS: 6mg (20 mL flush) -> 12mg x2
Chronotropes do what?
Alter heart rates by affecting the SA node to beat faster or slower
Atropine SE
-Blurred vision
-Dilated pupils
-Urinary retention
-Asystole
-VT/VF
Sodium Bicarbonate
Metabolic alkalosis
Dopamine
ACLS: 2-10 mcg/kg/min
Levophed
Initial dose is 8-12mcg/min
Maintenance dose is 2-4 mcg/min
Mix in 4 mg of 250 mL D5W or NS
What is the 5th pressor?
Jesus Christ #amen #almostdead
Dopamine SE
-Widened QRS complex
-Ectopic beats
-HTN
Calcium Chloride SE
-Burning on skin
-Vasodilation
-Extravasation
Diltiazem
ACLS: 0.25 mg/kg over 2 minutes
Sodium Bicarbonate
1 amp is 50 mEq
Vasopressors do what?
Constrict blood vessels to raise blood pressure
Amiodarone SE
-Prolonged QT interval
-SJS
-Pulmonary fibrosis
-Increased LFTs
Epi
-Pale complexion
-Difficulty breathing
-Tremor
-Cerebral hemorrhage
-Pulmonary edema