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ACLS ( 2010 ACLS ) 2010/12/24 http://jerryljw.blogspot.

com/
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Adenosine
(Adenocor)
6 mg/vial

Alteplase
(Actilyse)
50 mg/vial

1 mg/ml
(2 vials/NS 100
ml)

Amiodarone
(Cordarone)
150 mg/3
ml/amp

Atropine
sulfate
(Atropine)
1 mg/amp

Calcium
chloride
(Vitacal)
2% 20 ml
Digoxin
(Lanoxin)
0.5 mg/amp
0.25 mg/tab
Digibind
(38 mg/vial)

- QRS
- QRS
SVT
QRS SVT[]
(STEMI)
100 mg/ 1.5
(ischemic
stroke)
90 mg/ 2
3 3~4.5
![]
(acute
pulmonary embolism)
100 mg/ 2
CPR

(VF)

(PEA) []

6 mg IVP 1~3 20 ml NS
1~2 12 mg1~2
12 mg
(6 mg12 mg12 mg)

STEMI 15 mg IVP 0.75


mg/kg( 50 mg) 30
0.5 mg/kg( 35 mg)
60
0.9
mg/kg( 90 mg) 10% IV
1 60
10 mg IVP 1
90 mg 2

:
-
- 3
- 14
-
- (SBP/DBP >185/110 mmHg)
- 7
- (PLT <100KINR >1.7PT >15 )
- CPR
- 24
aspirin heparin

300 mg/ 20-30 ml D5W IVP


3~5 150 mg

150
mg IVD 10 (15 mg/min) 1
mg/min 6 0.5 mg/min
18 ( 2.2
gm 15 amps)
( ACS) 0.5 mg IV
3~5
0.6~1 mg IVB
5
* 0.04 mg/kg 3 mg
2~4 mg
: 5~10 ml IV push

QT ( TdP <0.5%)
QT
( 1 )( 1~2 )
D5W

0.25~0.5 mg(5 g/kg)IV6~8


0.1~0.3 mg IV
: 0.075~0.35 mg IV QD

Amiodarone

GFR 10~50: 25~75%


GFR <10: 10~25%
38 mg Digibind 0.5 mg digoxin

(vial): x /100
10 vials
3~5 vials
30

Diltiazem
(Herbesser)
50 mg/5 ml/amp

(K >5.0 mEq/L)
>10 ng/ml
AF
Adenosine
QRS SVT

Dobutamine
(Dobutamine)
250 mg/20
ml/vial
Dopamine
(Dopamine)
200 mg/ 5
ml/vial

(
)
70~100 mmHg

(
Atropine )
(SBP 70
mmHg)

2~20 g/kg/min
()

Enoxaparin
(Clexane)
60 U/syn
20 U/syn
Epinephrine
(Adrenaline)
1 mg/ml/amp

(NSTEMI
STEMI)

Flumazenil
(Anexate)
0.5 mg/5 ml/amp

benzodiazepine(BZD)

Furosemide

SBP 90

AF/Af

(~10 )

: 15~20 mg(0.25
mg/kg)IV 2
: 5~15 mg/hr

2~20 g/kg/min
(1~5 g/kg/min
6~10 g/kg/min
>10 g/kg/min
)
1 mg/kg SC Q12H
(GFR <30 ml/min Scr
>2.5 mg/dl) 1 mg/kg SC QD
>75 : 0.75 mg/kg SC Q12H
1 mg IVP 3~5

(
0.2 mg/kg)

2~10 g/min
0.2 mg(2 ml)IV 15 30
0.3 mg(3 ml)IV 30
30 0.5 mg(5
ml)IV 30 ( 3 mg
6 amps)
0.5~1 mg/kg IV 1~2

()

0.5 mg

NaHCO3
1~3 30~60
5.44 mEq/amp; 0.27 mEq/ml

QRS

Wolff-Parkinson-White(WPW)
AF/Af

SBP 100 mmHg

10%

NaHCO3

heparin 100,000
( protamine 1 mg 100 IU heparin)
IV IM

1~3 1

(Lasix)
20 mg/2 ml/amp
Glucagon
(Glucagen)
1 mg/vial
Isoproterenol
(Proterenol)
0.2 mg/ml/amp

Lidocaine
(Xylocaine)
2% 100 mg/5
ml/amp

mmHg

2 mg/kg

(
)
MgSO4
torsade de pointes(TdP)

VF VT

VT
QT
VT

2~10 g/min

(
)

TdP : QT

VF/VT 1~1.5 mg/kg


IVP 5~10
0.5~0.75 mg/kg( 3
mg/kg 3 )
0.5~0.75 mg/kg IVP
5~10 (
3 mg/kg 3 )
: 1~4 mg/min(30~50
g/kg/min)
TdP 1~2 gm/
10 ml D5W IV 5~20

<5% HD PD

: 50 g/kg IV 10
: 0.375~0.75 g/kg/min

(2~3 )

3 mg IV 3
mg/hr

MgSO4
10% 20 ml/amp
16.23 mEq/amp;
0.81 mEq/ml
Milrinone
(Primacor)
10 mg/10 ml/vial
Morphine
sulfate
10 mg/amp

TdP

(
)

Naloxone
hydrochloride
(Narcan)
0.4 mg/ml/amp
Nitroglycerin
(illrisol)
5 mg/10 ml/amp
(Nitrostat)
0.6 mg/tab

: 12.5~25 g IV(
)
: 10~20 g/min
5~10 10g/min

Nitroprusside
(Nitroprusside)
50 mg/vial

: 0.1 g/kg/min
: 5~10 g/kg/min
50~100 mg(1~2 vials)/D5W 250 ml

Norepinephrine
(Levophed)
4 mg/4 ml/amp
Procainamide
(Procanbid)
1 gm/10 ml/amp

NaHCO3
7% 20 ml
16.7 mEq/amp
Vasopressin
(Pitressin)
20 U/ml/amp

Verapamil
(Isoptin)
2.5 mg/2 ml/amp

QT
VT
Adenosine
PSVT

QRS

NaHCO3
()

VF
PEA

QRS
SVT(
adenosine )
AF/Af
(MAT)

IVP (intravenous push)

STEMI 2~4 mg IV 1~5


5~30
NSTEMI 1~5 mg IV

0.4~2 mg IV(0.4~0.8 mg IM)

: 0.5~1 g/min(30~60 g/hr)


( 30
g/min)
VF/VT 20 mg/min IV (
17 mg/kg)
50 mg/min IV

20 mg/min IV
:
-
-
- QRS 50%
-
: 1~4 mg/min IV
1 mEq/kg IV()
HCO3 = 1/2 x (24 - HCO3)

PEA VF 40
U IVP
epinephrine
0.01~0.04 U/min IV

2.5~5 mg IVP 2 (
3 ) 15~30
5~10 mg( 20 mg)

5 2
FurosemideBumetanide = 401

meperidine
( 1~3 )
SBP 10%(
) 30%()
SBP 90 mmHg
(<50 bpm)(>100 bpm)

24 sildenafil48
tadalafil
thiocynate

()
( 1~2 )

12
mg/kg 1~2 mg/min

QT

QRS
WPW AF(SSS)
()