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ACLS Review

Across
Primary pacemaker of the heart
Given for symptomatic bradycardia. 0.5mg IV, may repeat every 3-5 mins (max total dose of 3mg). Doses of less than 0.5mg may paradoxically further slow the heart.
In addition to monitoring ETT position, helps monitor CPR quality, and detect ROSC
This rhythm is caused by external influences on the heart. Treat the cause, not the rhythm.
This antiarrhythmic is given 1-1.5mg/kg IV/IO first dose, then 0.5-0.75mg/kg at 5-10 minute internals, Max dose 3mg/kg.
Electrical activity without a pulse.
Can have a pulse or not. If not, start CPR and follow the V-fib pathway.
First dose 6mg followed by 12mg if needed to treat SVT.
Rate below 60, can be stable or unstable.
First line antiarrhythmic agent given in cardiac arrest. First dose 300mg IV/IO bolus, consider additional 150mg IV/IO once.
PR interval gets longer and longer until a beat is dropped.
High energy, unsynchronized shocks. Stuns the heart and briefly terminates all electrical activity. If the heart is still viable, its normal pacemakers may resume activity.
Down
The Propaq MD can deliver 1-200 joules with defibrillation. What type of monitor is this?
Use this method with second degree type II or third degree blocks, as Atropine may be ineffective.
Give 1mg IV/IO every 3-5 minutes pulseless rhythms. It's B-adrenergic effects cause vasoconstruction to increase cerebral and coronary blood flow.
If you see this rhythm, give Magnesium Sulfate 1-2 g IV/IO diluted in 10mL given as bolus, typically over 5 to 20 minutes.
Immediate _______ is recommended for unstable tachycardia. May consider sedative, but do not delay in the unstable patient.
P waves are independent of QRS complex. P-P and R-R intervals regular. Treat this rhythm with TCP.