ACLS

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Last updated 2:48 AM on 8/2/26
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14 Terms

1
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Pulseless VTach

  1. Start CPR and INTUBATE

  2. 360 joules Shock

  3. Resume CPR

  4. Shock

  5. Resume CPR

  6. Epi 1mg (DURING CPR)

  7. Check rhythm and pulse

IF STILL SHOCKABLE:

  • Resume CPR

  • Shock

  • Resume CPR

  • Epi 1mg

  • Check rhythm and pulse

IF PERSISTENT Tach/VFib

  • Amiodarone 300mg IV bolus for LAST DOSE

2
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VFib

  1. Start CPR and INTUBATE

  2. 360 joules Shock

  3. Resume CPR

  4. Shock

  5. Resume CPR

  6. Epi 1mg (DURING CPR)

  7. Check rhythm and pulse

IF STILL SHOCKABLE:

  • Resume CPR

  • Shock

  • Resume CPR

  • Epi 1mg

  • Check rhythm and pulse

IF PERSISTENT Tach/VFib

  • Amiodarone 300mg IV bolus for LAST DOSE

3
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ASYSTOLE

  1. CPR

  2. Epi 1mg (DURING CPR)

  3. Check rhythm, check pulse

(REPEAT AS NEEDED)

4
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PULSELESS ELECTRICAL ACTIVITY (PEA)

  1. CPR

  2. Epi 1mg (DURING CPR)

  3. Check rhythm, check pulse

(REPEAT AS NEEDED)

5
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UNSTABLE SINUS BRADYCARDIA

  1. STOP CPR, if from arrest “Pt. revived!”

  2. Atropine 1mg IV

  3. Dopa on 5mcg (INCREASE to 10mcg if already started)

  4. Monitor until stable

6
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STABLE SINUS BRADYCARDIA

  1. STOP CPR, if from arrest “Pt. revived!”

  2. Monitor closely.

7
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HYPOTENSIVE (NORMAL SINUS RHYTHM)

  1. STOP CPR, if from arrest “Pt. revived!”

  2. Dopamine 5mcg (INCREASE to 10mcg if already started)

  3. Monitor VS

8
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NORMAL / STABLE PATIENT

  1. STOP CPR, if from arrest “Pt. revived!”

  2. Monitor VS.

9
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HYPERTENSIVE (NORMAL SINUS RHYTHM)

  1. STOP CPR, if from arrest “Pt. revived!”

  2. STOP or TAPER DOWN Dopamine to 3mcg

  3. Monitor VS

10
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NORMAL / STABLE PATIENT

  1. STOP CPR, if from arrest “Pt. revived!”

  2. Monitor VS

11
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SUPRAVENTRICULAR TACHYCARDIA (STABLE)

  1. STOP CPR

  2. Carotid Massage

  3. Adenosine 6mg rapid IV push (raise arm).

  4. Check rhythm, check pulse

IF DOES NOT IMPROVE, GIVE NEXT DOSE.

12 (next) - 12 (last)

IF STILL ON SVT AFTER LAST DOSE:

  1. SEDATE PATIENT IF AWAKE

  2. PERFORM SYNCH CARDIOVERSION

12
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SUPRAVENTRICULAR TACHYCARDIA (UNSTABLE)

  1. STOP CPR

  2. 120 JOULES SYNCHRONIZED CARDIOVERSION

  3. Check rhythm, check pulse

13
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PULSELESS ELECTRICAL ACTIVITY (PEA)

  1. CPR

  2. Epi 1mg (DURING CPR)

  3. Check rhythm, check pulse

(REPEAT AS NEEDED)

14
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SUPRAVENTRICULAR TACHYCARDIA (UNSTABLE)

  1. STOP CPR

  2. 120 JOULES SYNCHRONIZED CARDIOVERSION

  3. Check rhythm, check pulse