ACLS DRUGS

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Author:
kayodethomas
ID:
160866
Filename:
ACLS DRUGS
Updated:
2012-07-03 14:57:27
Tags:
ACLS
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Description:
DRUG NAMES and Indications
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  1. ADENOSINE
    • Indication
    •    --- first drug for STABLE narrow omplex SVT
    •    --- regular monomorphic wide complex tachycardia 
    •         thought to be previoulsy defined to be reentry SVT
    •    --- does not  converrt atrial fibrillation, atrial flutter or VT
    • Contraindication
    •   --- poinson/ drug induced tachycardia
    •   --- flushing, chest pain,tightness, brief periods of asystole
    •   --- Brady cardia
    •   --- less effective in patients taking theophylline or caffeine
    •   --- safe and effective in pregnancy
    •   --- transient periods of sinus bradycardia
    • Route
    •   --- IV rapid push
    • Dose 
    •   -- 6mg given rapidly followed by a NS 20ml bolus
    •   --- second dose 12mg given in 1 to 2 minutes if needed
    •   --- third dose of 12mg given in 1 to 2 minutes if needed 
  2. Aspirin
    • Indication:
    •   --- Administer to all patients with ACS
    •         --- Morphine, Oxygen, Nitroglycerin, Aspirin
    •   ---blocks formation of thromboxane A2, which causes    
    •       platelets to aggregat and arteries to constrict 
    •   --- pressure, heavy weight, squeezing, ishemic pain
    • Precautions
    •   ---patients with Ulcers
    •   --- hypersensitivity to aspirin
    • Route
    •   --- PO
    •   --- Rectal Suppository
    • Dose
    •   --- 160mg to 325mg nonenteric coated tablet taken as soon 
    •        as possible
    •   ---rectal suppository (300mg) for patients who cannot take
    •       PO
    •  
  3. Atropine
    • Indication
    •   --- first drug for symptomatic sinus brady cardia
    •   --- beneficial in presence of AV nodal block or ventricular
    •        asystole. (not effective for Mobitz type II block)
    •   ---  for nerve agent poisoning large dose may be needed.
    • Precautions
    •   --- use with caution in presence of mycardial ishemia and 
    •        hypoxia
    •   --- avoid in hypothermic bradycardia
    •   --- will not be effective for infranodal (type II) AV block 
    •        and new third degree block
    •   ---Doses of atropine <.5mg may result in paradoxical 
    •      slowing of heart rate 
    • Route
    •   --- IV/IO
    •   --- ETT 
    • DOSE
    •   Bradycardia (with or without ACS)
    •     -- 0.5mg IV every 3 to 5 minutes as needed
    •     -- not to exceed total dose of 0.04mk/kg (total 3 mg) 
    •   Organophosphate Poisoning
    •     -- Extremely large dose (2-4mg or higher) neeeded
    •   ETT administration
    •     --- 2-3 mg diluted in 10ml normal saline 
  4. DOPAMINE
    • Indication
    •  --- second line drug for symptomatic bradycardia (after
    •       atropine
    •  ---used for hypotension (SBP <70 to 100mmHh) with signs and symptoms of shock

    • Precautions:
    •   --- corret hypovolemia with v 

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