question on ACLS algorithm: cardiac arrest - page 2

by Orion81

Hello, I was hoping someone could clarify something for me. I'm taking ACLS in a few weeks and am studying the algorithms. For cardiac arrest it says to give epinenephrine q 3-5 min. Let's say you give it, the rhythm is shock... Read More


  1. 0
    Quote from Orion81
    Wow, thank you so much. That cleared it up for me completely. The way I was interpreting the algorithm for VF/VT was alternating epi and amiodarone after each shock because of the way the arrows go full circle starting over the whole cycle again (assuming shockable rhythm). But thank you for clearing that up for me because I just wasn't getting it.
    No worries, glad to help. The algorithms can be really confusing until you actually see ACLS in practice. The reason the algorithms go in a circle is because your next intervention depends on what's going on now. And it's not uncommon for a code to require several rounds of meds/defib before return of spontaneous circulation or code team is willing to call the code. I really enjoy ACLS and PALS (if you couldn't tell . Feel free to ask if you have anymore questions!
  2. 1
    Shock, CPR, epi, shock, CPR, amiodarone, shock, CPR, epi, shock CPR, amiodarone, shock, CPR, epi, etc. reassess patient after 2 minutes CPR each time. In ACLS, drugs are pushed fast (as fast as you can get it in) followed by 20 cc saline flush. You do NOT need to demonstrate IV starting, just verbalize that you started it. Don't read into the questions on the exam, its straight forward. Also, the mega code is done in group now so you will not be alone. Good Luck!
    Orion81 likes this.


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