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Writer's pictureThe Resuscitation Coach

What are the essential drugs for your ACLS Practical stations?

Updated: Apr 3, 2023


ACLS DRUGS for your practical stations.


I regularly get asked what drugs new ACLS students should know for their practical stations. This video includes an overview of these drugs.


EPINEPHRINE (0.1mg/ml or 1: 10 000)

Used for: VF/Pulseless VT; Asystole/PEA;

Symptomatic Bradycardia

Cardiac Arrest Dose: 1mg IV/I0 q3-5min

Bradycardia: 2-10 mcg/min

Hypotension: 0.1-0.5mcg/kg/min


AMIODARONE

Used for: VF/Pulseless VT; VT with a PULSE

Cardiac Arrest Dose: 300 mg IV/IO push and a Second dose 150 mg IV.

Non-arrest Infusion: 150mg over 10 minutes.


ATROPINE

Used for: Symptomatic Bradycardia

Dose: 1 mg IV q3-5min. Max 3 mg


ADENOSINE

Used for: When vagal maneuvers fail to terminate Stable Narrow-complex SVT; Regular/ Monomorphic Wide-complex Tachycardia.

Dose: 6 mg RAPID IV push, then 12 mg if the first dose did not work. Don't forget 20 ml IV flush and elevate the extremity.


DOPAMINE

Used for: Second-line drug for Symptomatic Bradycardia (after Atropine); Hypotension.

Dose: 5-20mcg/kg/min


NOR-EPINEPHRINE

Used for: Hemodynamically significant Hypotension.

Dose: 0.1-0.5mcg/kg/min


OXYGEN

Used for: ROSC, give minimum to maintain Sats 92-98%. Hypoxemia if sats ≤ 94%.

Give for ACS if sats <90%


Disclaimer: This video is for educational purposes and is not intended as medical advice. While we strive for 100% accuracy, errors may occur, and medications or protocols may change over time. #TheResuscitationCoach#ACLS#aclsdrugs #aclsmedications

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