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Thread: ACLS MNEMONICS

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    zzzz is offline Junior Member
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    ACLS MNEMONICS

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    ACLS Mnemonics

    V-Fib & Pulseless V-Tach
    ZAP-ZAP-ZAP ELB: Zaps represent initial defibrillations. ELB = the order of medications to be given
    1. Epinephrine
    2. Lidocaine
    3. Bretylium

    Asystole
    HAD2: Represents the causes & what to do 1st:
    H = Hypovolemia, Hypoxia, Hyperkalemia, Hypothermia
    A = Acidosis
    D = Drug overdose
    2 = reminds you to check for asystole in 2 leads to confirm

    The word "asystole" gives you a clue as to the drugs to use to reverse asystole:
    A = Atropine
    E = Epinephrine

    But to reverse asystole you need to reverse the word too, so:
    E is 1st so epi is used 1st
    A is last so use atropine 2nd

    PEA

    ITCH PAD : represents possible causes of PEA:
    I = Infarction (myocardial)
    T = Tension Pneumo Thorax
    C = Cardiac Tamponade
    H = Hypovolemia, Hypoxia, Hyperkalemia, Hypothermia (4-H club)

    P = Pulmonary Embolism
    A = Acidosis
    D = Drug Overdose (tricyclics, digitalis, beta blockers, calcium channel blockers)

    The acronym itself tells you how to treat:
    P = treat underlying PROBLEM 1st
    E = Epi 1 mg IV push q3 - 5 minutes
    A = Atropine 1 mg IV push q 3 - 5 minutes

    Bradycardia

    AD in bradycardia
    A = Atropine
    D = Dopamine
    The starting dose of atropine in bradycardia is half that of what is
    used in asystole; remember this since bradycardia is only half as bad
    as asystole.

    Tachycardia (with a pulse)
    Wide complex tach without serious signs & symptoms calls for the Wide sisters:
    Lida, Pro & The Brat = Lidocaine; Procainamide; Bretylium
    Wide complex tach of unk. cause
    The 1st Wide sister calls her cousin:
    Lida calls Addie (Lidocaine 1st drug used, then if needed, adenosine)

    If this fails then call the rest of the sisters: Pro & The Brat

    Drugs that can go down the ETT
    2 NAVEL:
    N = Nitroglycerine
    A = Atropine
    V = Valium
    E = Epinephrine
    L = Lidocaine
    2 = reminds you to double the dose for ETT administration

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    IMG SURVIVOR is offline Moderator 527 points
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    interesting, good stuff.
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

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