ACLS for the Clinical Pharmacist

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Take Away Points• Medications IVPB only P - procainamide I - isoproterenol N - norepinephrine D - dopamine• Medications IVP orIVPB V - vasopressin A – amiodarone,adenosine, atropine L - lidocaine E - epinephrine• Trachealadministration L – lidocaine E – epinephrine A – atropine N – naloxone V - vasopressin• Doses usually 2-2.522.5 timesthose given IVP• Follow each dose with 10ml NS flush down trachealtube if not diluted to thatvolume for administration
Supplemental Reading• Cardiovascular complications of cocaine use.N Engl J Med 2001;345(5):351-358358• Evolving role of vasopressin in the treatmentof cardiac arrest.Pharmacotherapy 2006;26(6):828-839839• Pharmacotherapy considerations in advancedcardiac life support.Pharmacotherapy 2006;26(12):1703-17291729
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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
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Intraosseous Administration• When
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HOW?Medication Administration• Do
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Use of Algorithms• Meant to treat
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ECG Rhythms• Normal sinus rhythmh
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ECG Rhythms• Ventricular Tachycar
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Cardiac ArrestManagement1. Pulseles
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Asystole and Pulseless ElectricalAc
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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 and 64: Tachycardia Algorithm• Yes 1-2-3,
Page 65 and 66: Adenosine• To convert SVT: 6 mg r
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: Take Away Points• Most frequently
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ACLS for the Clinical Pharmacist

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