ACLS Study Guide
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ACLS Study Guide

This packet is intended for review only

A-B-C to C-A-B
• Circulation-Airway-Breathing
• quickly initiating chest compressions

Chest Compression Changes
During CPR:
• depress the adult sternum at least 2 inches allowing chest to completely recoil
• at least 100 compressions per minute
• 2 breaths : 30 compressions
• give 8-10 breaths a minute with advanced airway
• Checking a pulse should require less than 10 seconds

Quantitative Waveform Capnography
• Recommended for confirmation and monitoring of ET tube placement
• Provides a monitor of effective chest compressions
• CO2 detectors and capnography are for ET placement and to monitor CPR

New Medication Protocols
• is recommended for the treatment of stable SVT
• is recommended for the treatment of VT with pulse when:
• rhythm is regular and QRS waveform is monomorphic

• is now preferred to Lidocaine, but either is still acceptable

• is no longer recommended in PEA/Asystole
• dose is now 0.5 mg, maximum 3.0 mg

• infusion for bradycardia is 2-10 mcg/kg/min
• infusion for post-cardiac arrest care is 5-10 mcg/kg/min

• infuse 2-10 mcg/min for bradycardia when maximum of Atropine is given
• Intravenous

Chronotropic agents are recommended as an effective alternative to external pacing for individuals:
• symptomatic bradycardia
• unstable bradycardia

• drug therapy rather than ET when IV is not established
• Oxygen supplementation
• for acute coronary syndromes is no longer routinely indicated
• If the oxyhemoglobin saturation is ≤ 94%
• Vasopressin
• can now be used in PEA/Asystole one time

Emergency Care Priorities
• The use of advanced airways, gaining vascular access, and administering drugs does
not take priority over high quality CPR and access to immediate defibrillation
• LMA or King Airway
• if the healthcare provider is not proficient to intubate
• Defibrillation for VF or pulseless VT
• 1 shock followed by 5 cycles of CPR before pulse check
• TCP is no longer in the asystole algorithm

Post-cardiac arrest care
• SPO2 and ETCO2 saturation
• is the number one priority
• saturation levels must meet:
• SPO2 ≥ 94%
• ETCO2 35-40%
• Reperfusion therapy
• PCI for STEMI and AMI
• Systolic blood pressure
• 90 mm Hg or administer
• NS/LR 1L
• Dopamine 5-10 mcg/kg/min
• Cognition
• glucose > 80 mg/dL

The authors make no claims of the accuracy of the information contained herein; and these suggested doses/interventions are not a substitute for clinical judgement. CPR 3G LLC is not liable for any special, consequential, or exemplary damages resulting in whole or part from any user’s use of or reliance upon this material. The information provided herein may or may not contain the most current guidelines. Refer to the AHA ECC Guidelines.

ACLS Study Guide
Register For ACLS Certification
Register For ACLS Recertification
Register For Adult ECG Interpretation (Online)