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ACLS Quick Doses
Code drugs, joules, and the H's and T's on one page — the card to tape inside your badge holder.
Free · print it · share it · no gatekeeping
Cardiac arrest
- Epinephrine
- 1 mg IV/IO q3–5 min · every rhythm
- Amiodarone
- 300 mg IV push, then 150 mg · shockable only
- Lidocaine (alt)
- 1–1.5 mg/kg, then 0.5–0.75 mg/kg
- Defibrillation
- Biphasic 120–200 J (per device) · monophasic 360 J
- Magnesium
- 1–2 g IV for torsades
- Compressions
- 100–120/min, 2–2.4 in, full recoil, <10 s pauses
Bradycardia (symptomatic)
- Atropine
- 1 mg IV q3–5 min, max 3 mg
- Pacing
- Transcutaneous — set rate 60–80, capture + pulse check
- Dopamine
- 5–20 mcg/kg/min
- Epi infusion
- 2–10 mcg/min
Tachycardia
- Unstable
- Synchronized cardioversion — sedate if you can
- Narrow regular
- Vagal → adenosine 6 mg rapid + flush → 12 mg
- Wide regular
- Amiodarone 150 mg over 10 min · procainamide alternative
- Sync doses
- Narrow regular 50–100 J · A-fib 120–200 J · V-tach w/ pulse 100 J
H's and T's
- H's
- Hypovolemia · Hypoxia · Hydrogen ion (acidosis) · Hypo/hyperkalemia · Hypothermia
- T's
- Tension pneumothorax · Tamponade · Toxins · Thrombosis (pulmonary) · Thrombosis (coronary)
Baddie pearls 👑
- ✦Someone owns the timer, someone owns compressions quality, someone owns the meds. Say the roles out loud.
- ✦Post-ROSC: 12-lead, capnography, targeted temperature per protocol, don't hyperventilate.
- ✦This card is a memory aid — follow your facility's current AHA-aligned protocol.
Educational reference only. Always follow your facility's current policies, protocols, and provider orders.
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