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ACLS Algorithm

No Pulse Yes

Start CPR
pVT/VF Asystole/PEA Tachycardia Bradycardia

Heart rate typically < 150/min Heart rate typically > 50/min

Unstable patient Stable patient

Hypotension ? Stable patient Monitor, observe Unstable patient


Signs of shock ? and Consultation Hypotension ?
Synchronized Rhythm Signs of shock ?
cardioversion

Narrow QRS Wide QRS Atropine IV Dose

First dose: 0.5 mg


Repeat every 3-5 min
Irregular: AF Regular: VT Maximum 3 mg

Diltiazem 0.2mg/kg Amiodarone 150mg/10 mi


Calcium channel Infusion 1mg/min in 6 hr
blocker If atropine ineffective
Then 0.5mg/min for 18 hr
Dopamine IV infusion
Regular: 2-10 mcg/kg per min
OR
SVT: vagal maneuvers Sinus tachycardia:
T.C.P
6 mg adenosine rapid IV
Then 12 mg if required
B-Blocker (transcutaneous pacing)
Epinephrine dose 1mg T.V.P
A-Flutter: Treatment causes:
Amiodarone: First
dose: 300 mg bolus
Diltiazem 0.2mg/kg (Transvenous pacing)
Dehydration, sepsis, pain
Second dose 150 mg Diltiazem 0.25mg/kg
‫جامعي امحد لطيف اخلاقاني‬.‫م‬

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