Questions and Answers
Which of the following medications are used for ACLS? (Select all that apply)
What does a crash cart contain for severe allergic reactions?
Diphenhydramine
What is the process of inserting a tube into the trachea called?
Intubation
Which supplies should be included in a good crash cart? (Select all that apply)
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Where are the drugs typically stored in a crash cart?
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What items are found in Drawer Two of a crash cart?
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What supplies are included in Drawer Three?
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What special supplies are held in Drawer Four?
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What does Drawer Five contain?
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What is found in Drawer Six of a crash cart?
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What should be located outside of the crash cart?
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Establish an inventory list and schedule to facilitate the cart always being properly stocked and ready for use. After each use, make sure the cart is ______.
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What is a great website to check out for crash cart resources?
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Study Notes
ACLS Medications
- Key ACLS medications include adenosine, amiodarone, atropine, diltiazem, epinephrine, ibutilide, lidocaine, magnesium sulfate, procainamide, vasopressin, and verapamil.
- These medications follow protocols established by the American Heart Association.
Other Medications in Crash Cart
- Commonly found medications include diphenhydramine for allergic reactions and naloxone for narcotic overdoses.
- Other necessary supplies might include IV replacement fluids, sedatives, anticonvulsants, and medication as per facility protocols.
Intubation Supplies
- Crash carts are equipped with tools for intubation, which maintains respiratory function by ensuring a clear airway.
- This process involves inserting a tube into the trachea for assisted breathing.
Additional Supplies
- Essential sundries such as syringes, IV tubing, scalpels, sutures, catheters, antiseptics, gloves, and a "sharps" container for waste disposal.
Drawer One: Drugs
- The first drawer typically holds ACLS medications, with a focus on first-line and rapid sequence drugs.
- A barcode scanner may be available for bar-coded syringes to streamline medication administration.
Drawer Two: Adult Intubation Supplies
- Contains endotracheal tubes, airways, pressure cuffs, CO2 detectors, laryngoscope handle, forceps, guidewires, bulb, blades, and batteries.
- Some facilities may have a dedicated intubation kit on top of the cart.
Drawer Three: Sterile Supplies
- Stores sterile items like various sizes of gloves, gauze, tape, alcohol swabs, syringes, needles, conducting gel, and injectable saline.
- May include facility-specific items tailored for nursing homes or orthopedic centers.
Drawer Four: Pediatric and Infant Supplies
- Organized similarly to the adult intubation drawer but focused on pediatric needs.
- Includes pediatric-sized endotracheal tubes, resuscitation bags, blood pressure cuffs, suction catheters, masks, cannulas, electrodes, and pediatric medications.
Drawer Five: IV and Blood Draw Supplies
- Contains IV catheters, syringes, specimen tubes, tape, and tourniquets crucial for intravenous access and blood collection.
Drawer Six: IV Solutions and Miscellaneous
- Holds IV solutions, IV tubing sets, surgical kits, and miscellaneous medical supplies.
Outside of Cart Equipment
- Essential equipment includes an oxygen tank with a regulator on the left, a cardiac board on the back, and a defibrillator located on top.
Importance of Inventory Management
- Establish an inventory list and schedule to ensure the crash cart is consistently stocked and ready for emergencies.
- Restock immediately after use and do not return the cart to service until supplies are in their designated spots.
Resource Reference
- For further information on crash cart management: UCDMC Clinical Skills Refresher
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Description
Test your knowledge of ACLS medications used in emergency situations with these flashcards. This quiz covers essential drugs commonly found in crash carts, including adenosine, amiodarone, and more. Perfect for medical students and healthcare professionals preparing for advanced cardiac life support.