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    Pharmacological Tools: Doses, Routes, and Uses of Common Drug

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    Apuntesdemedicinaa blog
    This document provides information on pharmacological tools used in Advanced Cardiac Life Support (ACLS). It lists common drugs used, their main ACLS uses, dosages, routes of administration, and notes. Some drugs listed include adenosine, amiodarone, atropine, dopamine, epinephrine, lidocaine, magnesium sulfate, procainamide, and sotalol. For each drug, it provides the typical adult dose, indications, and route of administration as a brief reminder for medical professionals already knowledgeable in their use.

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    Pharmacological Tools: Doses, Routes, and Uses of Common Drug

    Uploaded by

    Apuntesdemedicinaa blog
    131 views1 page
    This document provides information on pharmacological tools used in Advanced Cardiac Life Support (ACLS). It lists common drugs used, their main ACLS uses, dosages, routes of administration, and notes. Some drugs listed include adenosine, amiodarone, atropine, dopamine, epinephrine, lidocaine, magnesium sulfate, procainamide, and sotalol. For each drug, it provides the typical adult dose, indications, and route of administration as a brief reminder for medical professionals already knowledgeable in their use.

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    2021_ACLS_farmacos

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    This document provides information on pharmacological tools used in Advanced Cardiac Life Support (ACLS). It lists common drugs used, their main ACLS uses, dosages, routes of administration, and notes. Some drugs listed include adenosine, amiodarone, atropine, dopamine, epinephrine, lidocaine, magnesium sulfate, procainamide, and sotalol. For each drug, it provides the typical adult dose, indications, and route of administration as a brief reminder for medical professionals already knowledgeable in their use.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    131 views1 page

    Pharmacological Tools: Doses, Routes, and Uses of Common Drug

    Uploaded by

    Apuntesdemedicinaa blog
    This document provides information on pharmacological tools used in Advanced Cardiac Life Support (ACLS). It lists common drugs used, their main ACLS uses, dosages, routes of administration, and notes. Some drugs listed include adenosine, amiodarone, atropine, dopamine, epinephrine, lidocaine, magnesium sulfate, procainamide, and sotalol. For each drug, it provides the typical adult dose, indications, and route of administration as a brief reminder for medical professionals already knowledgeable in their use.

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    4

    ADVANCED CARDIAC
    LIFE SUPPORT

    PHARMACOLOGICAL TOOLS
    Use of any of the ALCS medication in Table 1 should be done within your scope of practice and after
    thorough study of the actions and side effects. This table only provides a brief reminder for those who
    are already knowledgeable in the use of these medications. Moreover, Table 1 contains only adult
    doses, indications, and routes of administration for the most common ACLS drugs.

    Doses, Routes, and Uses of Common Drug

    DRUG MAIN ACLS USE DOSE/ROUTE NOTES

    • Rapid IV push close to the hub, followed by a


    • Narrow PSVT/SVT saline bolus
    • Wide QRS tachycardia, • 6 mg IV bolus, may repeat with 12 mg in
    Adenosine 1 to 2 min.
    • Continuous cardiac monitoring during
    avoid adenosine in administration
    irregular wide QRS
    • Causes flushing and chest heaviness

    • Anticipate hypotension, bradycardia, and


    • VF/pulseless VT gastrointestinal toxicity
    • VT with pulse • VF/VT: 300 mg dilute in 20 to 30 mL, may • Continuous cardiac monitoring
    Amiodarone repeat 150 mg in 3 to 5 min • Very long half-life (up to 40 days)
    • Tachycardia
    rate control • Do not use in 2nd or 3rd-degree heart block
    • Do not administer via the ET tube route

    • Symptomatic • 0.5 mg IV/IO every 3 to 5 minutes • Cardiac and BP monitoring


    bradycardia • Max dose: 3 mg • Do not use in glaucoma or
    Atropine tachyarrhythmias
    • Specific toxins/overdose • Minimum dose 0.5 mg
    • 2 to 4 mg IV/IO may be needed
    (e.g. organophosphates)

    • Shock/CHF
    • 2 to 20 mcg/kg/min • Fluid resuscitation first
    Dopamine • Symptomatic
    • Titrate to desired blood pressure • Cardiac and BP monitoring
    bradycardia

    • Initial: 1.0 mg (1:10000) IV or 2 to 2.5 mg


    (1:1000)
    • Cardiac Arrest
    • Maintain: 0.1 to 0.5 mcg/kg/min Titrate to
    desire blood pressure • Continuous cardiac monitoring
    • Note: Distinguish between 1:1000 and 1:10000
    Epinephrine • 0.3-0.5 mg IM concentrations
    • Anaphylaxis
    • Repeat every five minutes as needed • Give via central line when possible

    • Symptomatic • 2 to 10 mcg/min infusion


    bradycardia/Shock • Titrate to response

    • Initial: 1 to 1.5 mg/kg IV loading


    • Cardiac Arrest (VF/VT) • Second: Half of first dose in 5 to 10 min
    Lidocaine • Maintain: 1 to 4 mg/min
    • Cardiac and BP monitoring
    (Lidocaine is • Rapid bolus can cause hypotension and
    recommended when
    Amiodarone is not bradycardia
    • Initial: 0.5 to 1.5 mg/kg IV
    available) • Wide complex • Use with caution in renal failure
    • Second: Half of first dose in 5 to 10 min
    tachycardia with pulse
    • Maintain: 1 to 4 mg/min

    • Cardiac arrest/ • Cardiac Arrest: 1 to 2 gm diluted in 10 mL • Cardiac and BP monitoring


    Pulseless torsades D5W IVP • Rapid bolus can cause hypotension and
    bradycardia
    Magnesium Sulfate
    • If not cardiac arrest: 1 to 2 gm IV over 5 to 60 • Use with caution in renal failure
    • Torsades de Pointes min
    with pulse • Calcium chloride can reverse
    • Maintain: 0.5 to 1 gm/hr IV hypermagnesemia

    • 20 to 50 mg/min IV until rhythm improves, • Cardiac and BP monitoring


    hypotension occurs, QRS widens by 50%
    • Wide QRS tachycardia • Caution with acute MI
    or MAX dose is given
    Procainamide • Preferred for VT with • MAX dose: 17 mg/kg
    • May reduce dose with renal failure
    pulse (stable) • Do not give with amiodarone
    • Drip: 1 to 2 gm in 250 to 500 mL at
    1 to 4 mg/min • Do not use in prolonged QT or CHF

    • Tachyarrhythmia
    Table 1 Sotalol • Monomorphic VT • 100 mg (1.5 mg/kg) IV over 5 min • Do not use in prolonged QT
    • 3rd line anti-arrhythmic

    29 ACLS – Advanced Cardiac Life Support

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