ALS revise & cheat sheet.docx

**[ALS]** +-----------------+-----------------+-----------------+-----------------+ | **[Adrenaline]{ | Indications: | Adverse | - 1:10 000 = | |.underline}** | | reactions: | 1mg in 10ml | | | - Asystole/PE | | followed...

**[ALS]** +-----------------+-----------------+-----------------+-----------------+ | **[Adrenaline]{ | Indications: | Adverse | - 1:10 000 = | |.underline}** | | reactions: | 1mg in 10ml | | | - Asystole/PE | | followed by | | - Stimulate | A | - Tachycardia | 30ml flush | | Alpha and | (non-shocka | /Tachydysrthymi | | | Beta | ble) | as | - **SHOCKABLE | | effects | | | -- after | | | - VT/VF | - Hypertensio | 2^nd^ | | - Increases | (shockable) | n | COACHED | | cardiac | | after resus | then every | | output to | - Symptomatic | | second | | cerebral | bradycardia | - Peripheral | cycle** | | (brain) and | (when | vasoconstri | | | coronary | unresponsiv | ction | - **NONSHOCKA | | perfusion | e | | BLE | | pressure | to repeated | - Cerebral | -- after | | | atropine | haemorrage | 1^st^ | | - peripheral | doses | | COACHED | | vasoconstri | | - Tissue | then every | | ction | | necrosis if | 2^nd^ cycle | | [ | | extravasati | thereafter. | | ]{.underlin | | on | ** | | e} | | occurs | | | | | | - IV/IO only | | - Raises | | - thrombophle | | | **diastolic | | bitis | | | pressure to | | | | | facilitate | | - Hyperglycae | | | defibrillat | | mia | | | ion** | | | | | and | | | | | myocardial | | | | | blood flow | | | | | during CPR | | | | +-----------------+-----------------+-----------------+-----------------+ +-----------------+-----------------+-----------------+-----------------+ | **[Amiodarone]{ | Indications: | Adverse | Dose in cardiac | |.underline}** | | reactions: | arrest: | | | - Pulseless | | | | - **Prolongs | VT/VF | - Hypotension | - **SHOCKABLE | | action | (shockable | | -- after | | potential** | rhythms) | - Bradycardia | 3rd COACHED | | duration | | | then every | | and | - Conscious | - Heart | second | | **refractor | VT | blocks | cycle** | | y | | | | | period** of | - AF and | - | - Initial | | atrial, | A.Flutter | | dose 300mg | | nodal and | | | in 20mls 5% | | ventricular | - Supraventri | | Dex IV/IO | | tissue | cular | | after 3^rd^ | | | Tachycardia | | COACHED | | - **Increase | | | then 150mg | | coronary | | | thereafter | | blood | | | | | flow** and | | | - Must use | | **decreases | | | PVC | | cardiac O2 | | | freeline | | requirement | | | | | ** | | | | | without | | | | | producing | | | | | negative | | | | | inotropic | | | | | effect | | | | | | | | | | - **Vasopress | | | | | or | | | | | to | | | | | facilitate | | | | | defibrillat | | | | | ion** | | | | | | | | | | - Slows | | | | | atrioventri | | | | | cular | | | | | conduction | | | | +-----------------+-----------------+-----------------+-----------------+ +-----------------+-----------------+-----------------+-----------------+ | **[Lidocaine | Indications: | Adverse | Dose in cardiac | | hydrochloride:] | | reactions: | arrest: | | ** | - VF/pulseles | | | | | s | - Hypotension | - Initial | | - Membrane | VT | , | 1mg/kg | | stabilising | | bradycardia | bolus after | | agent | - Used pt | , | 3^rd^ shock | | | known | heart | | | - Antiarrthym | hypersensit | block, | - Additional | | ic | ivity | asystole | 0.5mg/kg | | effects to | to | | then up to | | reduce | amiodarone | - CNS | 200mg | | automaticit | or if | disturbance | | | y | amiodarone | : | - Not | | of | not | Slurred | recommend | | ventricular | available | speech, | to commence | | cells but | | altered | infusion | | has little | - Prophylaxis | LOC, muscle | until ROSC | | effect on | for | twitching, | | | speed of | recurrent | seizures, | - Via | | conduction, | VF or VT | | Endotrachea | | contractili | | - Confusion | l | | ty | - | | tube(ETT) | | or cardiac | | - Respiratory | if no IV/IO | | output | | depression | access | | | | and arrest | | +-----------------+-----------------+-----------------+-----------------+ +-----------------+-----------------+-----------------+-----------------+ | **[Calium | Indications: | Adverse | Dose in cardiac | | chloride/glucon | | reactions: | arrest: | | ate]{.underline | - Hypocalcaem | | | | }** | ia | - Vasodilatio | - 5-10mL | | | (Ca \15 mins) | | | | | | | \# May | | | | | inactivate | | | | | adrenaline/calc | | | | | ium | | | | | if given in the | | | | | same line -\> | | | | | block IV line | +-----------------+-----------------+-----------------+-----------------+ +-----------------+-----------------+-----------------+-----------------+ | **[Atropine]{.u | Indications: | Adverse | Dose in cardiac | | nderline}** | | reactions: | arrest: | | | - Sinus | | | | - **Reduce | bradycardia | - **Tachyarrt | - rapid IV | | Parasympath | /heart | hymia, | bolus of | | etic | blocks with | hypertensio | 500-600mcg | | effect** | Symptomatic | n** | with 20mls | | | /haemodynamic | | flush may | | - **Increase | compromise | - excitement/ | be repeated | | HR by | (syncope, | delirium/confus | | | blocking | SOB, CP) | ion | - maximum | | the action | | | dose of 3mg | | of the | - HR \< 40 | - urinary | total | | vagus nerve | bpm | retention | | | on heart** | | | - IV/IM/Subcu | | resulting | - SBP \< 90 | - fixed | t, | | in | mmHg | dilated | not for | | increased | | pupils | infusion | | SA | - Heart | | | | discharge | failure | - hyperthermi | \# Not slowly | | and | | a | or increment | | conduction | | in large | \