ACLS Drugs Video Review

A short video that shows the primary uses and dosages for all of the medications that will be on your ACLS exam.


There are several components of your Advanced Cardiac Life Support (ACLS) material that you will need to be familiar with in order to pass your exam. However, there might not be one that requires more studying and memorization than ACLS drugs and dosages.

  

Thankfully, this quick video has all the information you need to help make that process as easy as possible. Here’s what you need to know:

  

  

Adenosine

- Primary Uses:

- SVT/PSVT

- Wide QRS Tachycardia

- Dose:

- First Dose: 6 mg IV Push

- Second Dose: 12 mg IV Push


Amiodarone

- Primary Uses:

- Pulseless VT

- Ventricular Fibrillation (V-Fib)

- Recurrent Hemodynamically Unstable Ventricular Tachycardia

- Hypertrophic Cardiomyopathy

- Supraventricular Tachyarrhythmias

- Dose:

- VT / V-Fib:300 mg IV/IO. May give 150 mg after initial dose

- Tachy / VT: 150 mg IV/IO over 10 minutes. Continuous infusion of 1 mg/min IV for 6 hours, 0.5 mg/min IV for next 18 hours


Atropine

- Primary Uses:

- Symptomatic Bradycardia

- Cardiac Arrest

- Dose:

- 0.5 mg IV (Repeat every 3 – 5 minutes

- Max dose: 3 mg


Dopamine

- Primary Uses:

- Bradycardia

- Hypotension

- Dose:

- 2 – 20 mcg/kg/min infusion

- Titrated based on clinical response; tapered on/off slowly


Epinephrine

- Primary Uses:

- Cardiac Arrest

- Symptomatic Bradycardia

- Anaphylaxis / Severe Allergic Reactions

- Severe Hypotension

- Dose:

- 1 mg (10 mL of 1:10,000 solution)

- Repeat every 3 – 5 minutes

- IV fluid Flush following each dose


Lidocaine

- Primary Uses:

- Ventricular Tachycardia

- Ventricular Fibrillation

- Dose:

- Cardiac Arrest from VT / VT:1 – 1.5 mg/kg IV/IO

- Refractory VF:Additional 0.5 – 0.75 mg/kg IV/IO; Repeat every 5 – 10 minutes for max of 3 doses, or 3 mg/kg

- Stable VT: 0.5 – 0.75 mg/kg up to 1.5 mg/kg; Repeat in 0.5 – 0.75 mg/kg doses to max of 3 mg/kg

- Maintenance Infusion:1 – 4 mg/min


Magnesium

- Primary Uses:

- Torsades de Pointes

- Hypomagnesemia (low magnesium)

- Digitalis Toxicity

- Dose:

- Initial Dose:1 – 2 g IV/IO diluted in 10 mL D5W

- Infusion Dose: 0.5 – 1 g/hour


Procainamide

- Primary Uses:

- Ventricular Arrhythmias

- Supraventricular Arrhythmias

- Dose:

- Loading Dose: 15 – 17 mg/kg IV. Give over at least 30 minutes

- Max: 1.5 grams


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