ACLS: “Neo stick” is phenylephrine — works fast as vasoconstrictor, agonist of α1–adrenoceptors
Atropine: increases firing of SA node (automaticity); will not work in complete heart block.
- Can give epinephrine, dopamine for increasing heart rate
- Next step would be external pacer @ HR of 70’s
CODE BLUE: Give epinephrine 1 mg Q 3 minutes
- 3 amp bicarb, check electrolytes, calcium + insulin if hyperkalemia
Shockable: VT w/o pulse, VF
- Amiodarone 300 mg push, then start drip
- Repeat amio 150 mg (can repeat every 10 minutes)
- If still getting shocked, can give 1 mg epi
Torsades: 2 mg IV mag push
SVT: 6 mg, (wait 2 minutes before second dose) 6 mg OR 12 mg Adenosine (Dr. Bongu says do 12 mg straight up)
Not shockable: PEA or asystole
- Don’t pause CPR to intubate
- 5 T’s, 5 H’s
- PEA: Heart beating, but not strong enough to pump blood out
- T: Toxins, Tension pneumothorax, Tamponade, PE, Troponin (MI)
- H: Electrolytes (think H+ aka acidosis), Hypoxia, Hypothermia, Hypovolemia
Vrachiha 