ACLS data with 2010 Guidelines to study for ACLS
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| Ventricular Fibrillation VF | Ventricles are "quivering" No P, QRS, T waves Rate 150-500 fine = 2-5mm coarse = 10-15
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| Pulseless Electrical Activity PEA | Organized electrical activity, no pulse
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| Asystole | No rhythm seen, no QRS
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| PEA MNEMONIC 5H 5T | Hypovolemia, Hypothermia, Hypoxia, Hydogen Ion Acidosis, Hypo/Hyperkalemia. Toxins, Tamponade, Tension pneumothorax, Thrombosis coronary, Thrombosis, pulmonary.
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| PEA MNEMONIC "PATCH(5)MED" | Pulmonary embolus Acidosis Tension pneumothorax Cardiac tamponade Hypokalemia/ Hyperkalemia/ Hypoxia/ Hypothermia/ Hypovolemia Myocardial infarction Electrolyte derangements Drugs
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| SINUS TACHYCARDIA | >100BPM
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| ATRIAL FIBRILLATION | 300-400 Atrial rate, Atria "quivering"
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| ATRIAL FLUTTER | 220-350 Atrial rate, Circular, usuall in set ratio to ventricular activity
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| SVT or SUPRAVENTRICULAR TACHYCARRHYTHMIA | comes from "above" or from atria QRS normal
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| REENTRY TACHYS | P-waves hard to see or absent
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| MONOMORPHIC VT | Every QRS is the same, WIDE QRS, no PR,
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| POLYMORPHIC VT | QRS CHNAGES, WIDE QRS
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| TORSADES DE POINTES | UNDULATING AMPLITUDE; MAG SULFATE
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| 1° AV BLOCK | PR INTERVAL >0.20
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| 2° TYPE I AV BLOCK or MOBITZ I or WENCKEBACH | PROGRESSIVE LENGTHENING OF PR UNTIL ONE QRS IS DROPPED
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| 2° TYPE II AV BLOCK or MOBITZ II | PR IS CONSTANT AND SET
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| 3° AV BLOCK | AV DISSOCIATION; ATRIA AND VENTRICLES CONTRACT INDEPENDENTLY
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| ESTIMATING RATES ON PAPER | 300, 150, 100, 75, 50
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| IDENTIFYING RHYTHMS | IS THERE A P? IS PR NORMAL? ARE P:QRS = 1:1? QRS WIDE OR NARROW?
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| SHOCKABLE RHYTHMS | VT OR VF, SVT (AFIB, AFLUT)
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| NON-SHOCKABLE RHYTHMS | ASYSTOLE OR PEA
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| ASYSTOLE OR PEA ALGORITHM | CPR 2min; EPI 3-5min; shockable?; NO:CPR 2 MIN YES:SHOCK, CPR 2min; etc
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| VF / VT ALGORITHM | CPR 2min; SHOCK?; CPR 2min, epi; SHOCK?; Amioderone 300/150; Vasopressin 40units may be sub for EPI
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| ADENOSINE | FAST/FLUSH; NARROW QRS VT/VF/SVT; 6MG/12MG in 1-2 mins
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| COMPRESSION / VENT RATIO BAG/MASK | 30 / 2
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| COMPRESSION / VENT RATIO INTUBATION | 1 VENT Q6-8 SECONDS NO PAUSE
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| VENT RATE FOR RESP ARREST WITH PULSE | 1 VENT Q5-6 SECONDS
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| MAY BE GIVEN BY ENDOTRACHEAL TUBE | VASOPRESSIN; EPI; LIDOCAINE
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| BRADYCARDIA | ATROPINE 0.5mg IV up to 3mg; TCPACING; DOPAMINE 2-10mcg/kg/min; EPI 2-10mcg/min
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| ERRATIC VT/VF | ONE SHOCK
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| STABLE TACHY | VAGAL
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| UNSURE OF PULSE | 2 MIN OF CPR!!!
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| REPERFUSION #1 | WITH SUSPECTED OR CONFIRMED MI
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| HYPERTHERMIA | PROVIDES BEST OUTCOME FOR MI
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| MI DRUGS | 02; ASPRIN; NITRATES; MORPHINE
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| EPI | (vp)1 MG IV / IO AFTER DEFIB OF ANY CARDIAC ARREST
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| VASOPRESSIN | (vp) USED IN CARDIAC ARREST AS AN ALTERNATIVE TO FIRST OR SECOND DOSE EPINEPHRIN
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| LIDOCAINE | ANTIARRHYTHMIC TO SLOW CONDUCTION AND REPOLARIZATION VF/FT 1-1.5 mg/kg IV INSTEAD OF AMIODARONE
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| AMIODARONE | USED TO RESOLVE A&V TACHY VT/VF
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| CA BLOCKERS: verapamil;cardizem | svt/afib/aflut with fast ventricular response
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| BETA BLOCKERS | RECURRENT VT/VR AND REFRACTORY SVT
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| DIGOXIN DOPAMINE DOBUTAMINE ISOPROTERONOL EPI AMIODARONE | INCREASE HR, BP, PERFUSION; ALSO O2 COMSUPTION
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| ASA & MI | 160-325 MG CHEWED IMMED IF NO CONTRAINDS
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| AMIODARONE | (a-ar) 300MG IV/IO / 150 MG IV/IO
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| ATROPINE | EG TUBE OK; SYMPTOMATIC BRADYCARDIA; not MOBITZ II
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| DOPAMINE | SYMPTOMATIC BRADY after ATROPINE; HYPOTENSION W/ S/S SHOCK 2-20mcg/kg/min
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| EPINEPHRINE | VF, PEA, PULSELESS VT, ASYSTOLE; may infuse for brady instead of dopamine 0.1-0.5mcg/kg/min; profound brady 2-10 mcg per min
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