ACLS Drugs

Each of the ACLS Algorithms utilizes a number of drugs which we will classify as “primary drugs”. The “primary drugs” are the medications that are used directly in an ACLS Algorithm. Here are the Primary ACLS drugs broken down by ACLS Algorithm. Each is a link to its respective page which covers, in detail, all aspects of the medication and it use in each ACLS algorithm and in post resuscitation efforts.

ACLS Algorithms and Their Primary Drugs Vent. Fib./Tach.
Epinephrine Vasopressin Amiodarone Lidocaine Magnesium

Asystole/PEA
Epinephrine Vasopressin Atropine (removed from algorithm per 2010 ACLS Guidelines)

Bradycardia
Atropine Epinephrine Dopamine

Tachycardia
adenosine Diltiazem Beta-blockers amiodarone Digoxin

This assessment of guidelines occurs every five years. Basic Life Support (BLS). A-B-C to C-A-B. management of circulation and respirations are achieved simultaneously. In the hospital setting and with teams. Pediatric Advanced Life Support (PALS). The purpose of this new approach is to quickly initiate chest compressions for individuals with life-threatening heart problems in order to restore and maintain blood pressure. ACLS guidelines change priority of response The A-B-C approach (Airway-Breathing-Circulation) has been changed to the C-A-B approach (Circulation-Airway-Breathing). new ACLS guidelines were announced. Health Education Solutions (HES) will implement new modules that adhere to those standards in their courses for ACLS Certification and ACLS Recertification.Verapamil Magnesium Acute Coronary Syndromes Oxygen Aspirin Nitroglycerin Morphine Fibrinolytic therapy Heparin Beta-Blockers Acute Stroke tPA-tissue plasminogen activator Glucose (D50) Labetalol Nitroprusside Nicardipine Aspirin The American Heart Association evaluates research and reviews existing first aid and life support guidelines to determine what changes need to be made to improve the effectiveness of procedures such as Advanced Cardiac Life Support (ACLS). Late in 2010. and Cardiopulmonary Resuscitation (CPR). It primarily applies to CPR performed by a single rescuer. ACLS Chest Compression Changes The newly mandated ACLS changes to chest compressions require that: .

Due to the lack of any observed therapeutic benefit. Adenosine is recommended for the treatment of stable. Remember. Intravenous chronotropic agents are recommended as an effective alternative to external pacing for individuals with symptomatic or unstable bradycardia. Therapeutic hypothermia treatment and percutaneous coronary interventions. atropine is no longer recommended to manage Pulseless Electrical Activity (PEA) or asystole. mistakenly doing chest compression on someone with a pulse does little harm compared to not doing compressions on someone without a pulse. New Stroke Care Recommendations . such as coronary angiography with revascularization should be provided when indicated after cardiac arrest. gaining vascular access. the use of advanced airways. and administering drugs doesn't take priority over high quality CPR and access to immediate defibrillation. 4. Oxygen supplementation for uncomplicated acute coronary syndrome is no longer routinely indicated and should only be applied only if the oxyhemoglobin saturation is less than or equal to 94 percent. The continuous measurement provides the partial pressure of exhaled carbon dioxide in mm Hg and it also provides a monitor of effective chest compressions. Post-Cardiac Arrest Care A new ALCS guideline was created for Post-Cardiac Arrest Care. 3. however it’s clearly demonstrated on the capnography measure by a sudden increase in co2 readings. 2. The return of spontaneous circulation can be difficult to assess. Emergency Care Priorities In order to avoid interruptions to chest compressions or delays in use of defibrillators. use quantitative waveform capnography. 1.    Depress the adult sternum at least 2 inches Complete recoil of the chest is required Chest compressions should be performed at a rate of at least 100/minute Checking for a pulse in an unresponsive individual now requires less than 10 seconds so chest compressions aren’t delayed. New Medication Protocols in ACLS Course Four new medication protocols are covered in HES’ ACLS Classes. Quantitative Waveform Capnography Recommendation To confirm and monitor endotracheal tube placement. Individuals who require endotracheal intubation are at risk of tube displacement during transport and transfer. The continuous waveform capnography will reflect these changes. undifferentiated wide-complex Tachycardia when the rhythm is regular and the QRS waveform is monomorphic. This ALCS guideline emphasizes a structured interdisciplinary system of care following a cardiac arrest.

Course completion cards will continue to be recognized as valid for two years. The talented neurologist can pull a lot of information about acute ischemic strokes on head CT.The window of time to use thrombolytics (rTPA) is still within three hours of onset of stroke symptoms. you aren't required to immediately take new ACLS courses. select patients can be treated with TPA within four and one-half hours. Watershed infarcts are more difficult to identify on CT but the clinical setting is usually the most helpful in diagnosis. regardless of ACLS procedural changes. The new ACLS guidelines don't suggest that the earlier guidelines were unsafe or ineffective. Previous ACLS Study Remains Valid If you've been trained under the old guidelines. . Stroke care through regional systems of care and organized stroke units are recommended. and individuals trained under earlier guidelines should continue to perform to these standards until they are trained under the new guidelines. However.

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