ACLS Drugs
how often and what route do you give Epi 1:10 during a Code
every 3-5 minutes IV/IO
how do we treat hypovolemia in codes
Normal saline and/or LR
what is the rate for CPR
100-120/min
what is your 1st and 2nd dose for defibrillation in peds
2nd 4j/kg
how often are you preforming a pulse check
every two mins
peds dose for versed
IV/IO 0.1 mg/kg
IN/IM 0.2 mg/kg
what is dan's favorite drink
the DEW!!!!!
what is your first and second dose of amiodarone and what route do you give it
1st 300mg IV/IO
2nd 150mg IV/IO
how can you identify a cardiac tamponade
muffled heart tones, JVD, hypotension
how deep should you push in CPR
at least 2 inches (5cm)
what are your two shockable rhythms
V-tach and V-fibs (please draw on the board)
when should an advanced airway be placed
when you no longer get adequate ventilation with your BLS airway
using the parklands formula
estimate the amount of fluid given in the first 8 hours
your pt is a 82 kg male with 75% burns to the body
2ml/kg/TBSA%= 6150ml
3ml/kg/TBSA%= 9225ml
4ml/kg/TBSA%= 12300ml
what is Tanners favorite medication to give
KeTaMiNe (dose all of it)
How do you make Epi 1:10 with Epi 1:1
mix 1mg of epi 1:1 into 9 mL of normal saline
name two drugs and their doses that can reverse a cardiac arrest
Narcan 0.4-2mg, Dextrose 12.5-25G, Oxygen all of it, Bicarb 1/mEq/kg, Mag 2G, Calcium 1G
how often should you breath for the patient in a Code
1 breath every 6 seconds
10 breaths a min
using a biphasic monitor what is your adult dose for defibrillation
120-200J (if unknown use maximum available)
what are the two main locations of IO placement on a patient
tibial plateau and humeral head
what is your peds dose and route for morphine
0.1mg/kg IV/IO/IM (max dose of 4mg)
what is the mannequins name
Rescue Randy
what is the 1st and 2nd dose of lidocaine in a code please include route
1st 1-1.5mg/kg IV/IO
2nd 0.5-0.75mg/kg IV/IO
how do you properly preform a needle decompression
Proper needle decompression placement is either in the second intercostal space at the midclavicular line or the fourth or fifth intercostal space at the anterior axillary line. The procedure should use a long enough catheter (at least 3.25 inches for larger patients) and is confirmed by a release of air from the syringe upon entering the pleural space
after an advanced airway is placed
using a monophasic monitor what is your adult dose for defibrillation
360J
using Utah 2B protocols when can you terminate CPR in the Field
20 mins of a non-shockable rhythm or 40 mins of a shockable rhythm with no ROSC
DNR or online medical control
what is your peds dose and route for acetaminophen
15mg/kg PO single dose only (max 650mg)
please draw and explain the anatomy of the heart and how blood flows through it
the class will judge you harshly
what is you pediatric dose of EPI 1:10 and what is your max dose
0.01mg/kg IV/IO (max dose 1mg)
List all H's and T's that are reversible causes
Hypovolemia, Hypoxia, Hydrogen ion, hypo/hyperkalemia, hypothermia, tension pneumothorax, tamponade cardiac, toxins, thrombosis (pulmonary, coronary)
if ETCO2 is low or decreasing you should do what
reassess CPR quality
what are your two non-shockable rhythms
PEA and Asystole (please draw on the board and explain why)
how often should providers be switched out for CPR
every 2 min or sooner if fatigued
Lucas 4 life (come and take it)
interpret the following ABG
PH: 7.25
PCO2: 30mmHg
HCO3-: 15mEq/L
compensated metabolic acidosis