Acls drugs 2014

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  • بارك الله فيك أستاذ أحمد ونفع الله بك وبعلمك
    عادل البنقالي. مركز الانعاش القلبي الرئوي بمكة
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Acls drugs 2014

  1. 1. ACLS Drugs Qassim CPR Center
  2. 2. V F & Pulseless V T Epinephrine Vasopressin Amiodarone Lidocaine Magnesium
  3. 3. PEA & A Systole Epinephrine Vasopressin
  4. 4. Tachycardia Medications Adenosine Diltiazem Beta Blockers Amiodarone Digoxin Verapamil Magnesium Sulphate
  5. 5. Bradycardia Medications Atropine Epinephrine Dopamine
  6. 6. Acute Coronary Syndrome Treatment Oxygen Aspirin Nitroglycerine Morphine Heparin Beta Blockers Fibrinolytic Therapy
  7. 7. Adenosine First drug of choice for all stable marrow QRS Complex tachycardia. Half life is 5 seconds. 3 mg/ml in 2 ml per each vial. 6 mg rapid bolus IV/IO initially over 1 – 3 seconds. 12 mg rapid bolus, observed 1 – 2 minutes. Repeat another 12 mg if not successful
  8. 8. Amiodarone Indication Recurrent VF. Unstable VT. Stable VT. Shock refractory VF/VT after epinephrine. Dose for cardiac arrest (VF/VT), 300 mg rapid infusion diluted in 20-30 ml of D.W 5 % over 10 – 20 minutes, then 900 mg over 24 hours as post resuscitation. for stable VT/ Wide QES Complex Tachycardia, 300 mg IV infusion over 20 – 60 minutes, then 900 mg over 24 hours in CCU.
  9. 9. Atropine First drug of choice for treating bradycardia. can be given by IV, IO and through Endotracheal Tube. doses:  500 microgram / ml/ IV every 3 – 5 minutes as needed, the maximum total dosages is 3 mg (6 ampules)
  10. 10. Vasopressin can be given through (IV, IO, ETT). 40 Units IV/IO push, may be given for once only as a replacement for the first or second dose of epinephrine.
  11. 11. Diltiazem Used for control the ventricular response rate in patients with Atrial Flutter or Atrial Fibrillation. 15 – 20 mg IV over 2 minutes. can repeat 20 – 25 mg over 2 – 5 minutes.
  12. 12. Dopamine Second line drug for symptomatic Bradycardia when Atropine is not effective. 2 – 10 microgram / kg/ min infusion
  13. 13. Lidocaine Indications Wide QRS Complex. Cardiac Arrest from VF/ Pulseless VT
  14. 14. Lidocaine Doses Cardiac arrest from VF/ Pulseless VT: Initial dose, 1 – 1.5 mg / kg/IV Stable VT, Wide QRS Tachycardia From 0.5 – 0.75 mg / kg and up to 1 – 1.5 mg/ kg. Repeat 0.5 – 0.75 mg / kg every 5 – 10 minutes with maximum total dose of 3 mg / kg.
  15. 15. Epinephrine Indications VF. VT. PEA. Cardiac Arrest. A Systole. Bradycardia.
  16. 16. Dose IV 1 mg (10 ml of 1:10,000) followed by 20 ml Flush, At intervals of 3 - 5 min Infusion : 1 mg (1 ml of 1:1000 Solution) added to 500 ml N/S or 5% D/W, run at 2 – 10 mcg/min. Titrate to 2 - 10 mcg/min. can be given by IV, IO and ETT.
  17. 17. Thank You Ahmad Thanin

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