Note: Your progress in watching these videos WILL NOT be tracked. These training videos are the same videos you will experience when you take the full ProACLS Recertification program. You may begin the training for free at any time to start officially tracking your progress toward your certificate of completion.

Show full transcript for Pharmacology video

In this section of your ACLS course, we're going to look at the current ACLS pharmacological treatments, including some important things to keep in mind as you progress through this section of your course. 

It's important to remember that no medication will work the way you expect it to or want it to unless the patient's biological status, at the cellular level, works the way you want it to or expect it to.

What do we mean by this? We know that there has been a lot of research done that better helps us understand that when a patient is in cardiac arrest, at the cellular level they have a very specific amount of time before clinical death transitions into biological or cellular death. In other words, permanent death.

As cellular hypoxia progresses into cellular death, the body's ability to react to treatments, including the medications we'll be covering in this section, become much more difficult and much more unlikely.

For this reason, it's vitally important that, as a healthcare professional, you are able to provide highly effective basic life support skills. These are foundational skills and extremely important for any and all successful ACLS outcomes.

ACLS Medications

The variety of medications that we'll cover in this section of the course are only one part of any successful resuscitation (and one part of the chain of survival) and will include:

  • Adenosine
  • Amiodarone
  • Aspirin
  • Atropine
  • Dopamine
  • Epinephrine
  • Fibrinolytic Agents
  • Lidocaine
  • Magnesium sulfate
  • Morphine sulfate
  • Nitroglycerin
  • Oxygen
  • Procainamide

The ACLS Chain of Survival

Essentially, basic life support helps the patient by buying them time. Time it takes the body to transition from clinical death to biological, cellular, and permanent death.

The ACLS medications listed above that we'll be digging into in subsequent lessons are just one small part of any successful resuscitation. ACLS is the next level in the chain of survival that includes four main components:

  1. The administration of medications
  2. Cardiac monitoring, pacing, cardioversion, or defibrillation
  3. Advanced airways
  4. Other advanced treatment options

Your goal is to help keep the patient in a state of survivability until, ultimately, you're able to get them appropriate and definitive treatment that will hopefully and ideally reverse their life-threatening condition.

The Administration of Medications

As you begin to learn about, or refresh your knowledge of, these current ACLS medications, we'll be breaking down each into four distinct categories:

  1. The drug and its effects
  2. The drug's indications
  3. The drug's precautions and contraindications
  4. The drug's appropriate dosage