ACLS for the Clinical Pharmacist

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Vagal Maneuvers• Valsalva’s maneuver A forcible exhalation effort against a closedglottis which results in an increase inintrathoracic pressure which interferes withvenous return to the heart• Carotid sinus massage Firm rotatory pressure applied to one side ofthe neck over the carotid sinus in a supinepatient to cause vagal stimulation in orderto slow or terminate tachycardia
Adenosine• To convert SVT: 6 mg rapid IVP over 1-13sec followed by 20ml saline flush; ifrate dose not convert in 1-212 min give12mg IVP & repeat 12mg in 1-212 minutesagainLarger doses required for patients with significant bloodlevels of theophylline, caffeine, or theobromineReduce initial dose to 3 mg in patients taking dipyridamoleor carbamazepine or those with transplanted hearts or ifgiven by central venous access
Page 1 and 2:
ACLSfor theClinical PharmacistKrist
Page 3 and 4:
Why Involve Pharmacist?• Improves
Page 5 and 6:
Pharmacist Involvement• Pharmacis
Page 7 and 8:
Routes of Medications• IV Push (I
Page 9 and 10:
Intraosseous Administration• When
Page 11 and 12:
HOW?Medication Administration• Do
Page 13 and 14: Use of Algorithms• Meant to treat
Page 15 and 16: ECG Rhythms• Normal sinus rhythmh
Page 17 and 18: ECG Rhythms• Ventricular Tachycar
Page 19 and 20: Cardiac ArrestManagement1. Pulseles
Page 21 and 22: Asystole and Pulseless ElectricalAc
Page 23 and 24: Asystole and PEA AlgorithmPEAInterv
Page 25 and 26: BasicPharmacologyReview
Page 27 and 28: Vasopressor Therapy• Increases SB
Page 29 and 30: Catecholamine Pharmacology• Bind
Page 31 and 32: Epinephrine Side Effects• Nervous
Page 33 and 34: Vasopressin Rationale• Enhance or
Page 35 and 36: A = Atropine• 1mg IVP/IO every 3-
Page 37 and 38: Atropine Side Effects• Anticholin
Page 39 and 40: ECG Rhythms• Ventricular fibrilla
Page 41 and 42: VF/PVT Algorithm: SCREAMGive 1 shoc
Page 43 and 44: VF/PVT Algorithm: SCREAMSShock360J
Page 45 and 46: Amiodarone• 300mg IVP/IO once, th
Page 47 and 48: Lidocaine• 1-1.51.5 mg/kg first d
Page 49 and 50: ArrhythmiaManagement•Bradycardia
Page 51 and 52: ECG Rhythms• Sinus bradycardiahea
Page 53 and 54: Bradycardia Algorithm:Pacing Always
Page 55 and 56: Transcutaneous PacingApparatus
Page 57 and 58: Epinephrine• Consider epinephrine
Page 59 and 60: Dopamine Side Effects• Cardiovasc
Page 61 and 62: Tachycardia Algorithm (continued)At
Page 63: Tachycardia Algorithm• Yes 1-2-3,
Page 67 and 68: Diltiazem (Cardizem)• Use if aden
Page 69 and 70: Cases:• Rhythm:• What is this?
Page 71 and 72: Cases:• Rhythm:• What is this?
Page 73 and 74: Other Code Situations• Pulmonary
Page 75 and 76: Take Away Points• Most frequently
Page 77: Supplemental Reading• Cardiovascu
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ACLS for the Clinical Pharmacist

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