6. ACLS PALS

What factors should we consider in cardiac arrest

What is advanced cardiac life support (ACLS)

What is the pharmacists role in ACLS/PALS

Chain of survival

Reversible causes of cardiac arrest

• 5 H’s

• 5 T’s

5 H’s

• Cause

• Mechanism

• Sequelae

• Treatment

5 T’s

• cause

• mechanisms

• sequelae

• treatment

What are the two types of ACLS Rhythms

EXAM QUESTION:
What are shockable rhythms

• two types

Know what ventricular fibrillation is

Know what a Pulseless Ventricular Tachycardia (Vtach) is

Monomorphic v Polymorphic Vtach

EXAM QUESTION:

What are non-shockable rhythms

• two types

What is an Asystole

What is pulseless electrical activity (PEA)

Cardiac arrest algorithm in shockable rhythms

Defibrillation

In a shockable rhythm, after 2 rounds of shock, what can be considered

What other meds can be considered in shockable rhythm caridac arrest

• Refractory/no response - unable to be fixed by CPR, shock, and given epinephrine - then start using anti-arrhythmic agents

Cardiac arrest algorithm in non-shockable rhythms

Routes of administration in cardiac arrest

Epinephrine

• MOA

• Effects

• Dose

• Clinical pearls

Amiodarone

• MOA

• Effects

• Dose

• Clinical pearls

• Shock-resistant VF/VT

Lidocaine

• MOA

• Effects

• Dose

• Clinical pearls

• Shock-resistant VF/VT

Sodium Bicarbonate

• MOA

• Effects

• Dose

• Clinical pearls

• ancillary medications

Calcium Chloride

• MOA

• Effects

• Dose

• Clinical pearls

• ancillary medications

Other ancillary medications (3)

• drug

• indication

Estimating pediatric weight with broselow tape

• Be aware that weight-based doses are recommended

Post-return of spontaneous circulation (ROSC) care