Epinephrine and Dopamine

01/26/22 • 4 min

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Today's episode we review two commonly used ACLS medications, epinephrine and dopamine. Epinephrine may be used to prevent a cardiac arrest in severe anaphylaxis or unstable bradycardia, during a cardiac arrest, and post arrest to maintain blood pressure. Epinephrine's doses and routs of administration. Dopamine is used to treat unstable bradycardia while awaiting TCP and post arrest to maintain a BP of at least 90 systolic. Dopamine's actions are dose dependent. Dopamine should be titrated up slowly and must not exceed 20 mcg/kg/min. Connect with me: Website: https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your class!

Previous Episode

Breath Rates & Ratios

Today's ACLS tip is on rescue breathing and ventilation rates & ratios used with and without an advanced airway while doing CPR. How often to give a breath while administering rescue breathing to someone with a pulse. Advantages of using end tidal CO2 wave form capnography. Giving breaths while CPR is in progress prior to an advanced airway being placed. Types of advanced airways and when they should be used during a code. Giving breaths while CPR is in progress and placement of an advanced airway has been confirmed. ETCO2 to: confirm placement; monitor effective CPR; and identify ROSC. Connect with me: Website: https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your class!

Next Episode

Delivering Uninterrupted Chest Compressions

Minimizing interruptions to chest compressions to under 10 seconds so that we can maintain a chest compression fraction of at least 80% has been shown to improve patient outcomes. Continuous chest compressions helps maintain coronary perfusion pressure needed to deliver oxygenated blood to the heart. End tidal CO2 and real time feedback should be used to measure effective CPR. Pauses to chest compressions should be timed and kept to under 10 seconds. Chest compressions may be continued while the defibrillator charges and during insertion of advanced airways. We should coordinate activities that are performed during compression pauses to minimize interruptions. Once an advanced airway is in, we don't stop chest compressions for breaths. We simply give one breath every 6 seconds. If a team member identifies that chest compressions have been stopped for 10 seconds they should speak up. Connect with me: Website: https://passacls.com (https://passacls.com) https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn Good luck with your class!