7. Adenosine
First drug of choice for all stable marrow QRS Complex tachycardia.
Half life is 5 seconds.
3 mg/ml in 2 ml per each vial.
6 mg rapid bolus IV/IO initially over 1 – 3 seconds.
12 mg rapid bolus, observed 1 – 2 minutes.
Repeat another 12 mg if not successful
8. Amiodarone
Indication
Recurrent VF.
Unstable VT.
Stable VT.
Shock refractory VF/VT after
epinephrine.
Dose
for cardiac arrest (VF/VT), 300 mg
rapid infusion diluted in 20-30 ml of
D.W 5 % over 10 – 20 minutes, then
900 mg over 24 hours as post
resuscitation.
for stable VT/ Wide QES Complex
Tachycardia, 300 mg IV infusion over
20 – 60 minutes, then 900 mg over
24 hours in CCU.
9. Atropine
First drug of choice for treating bradycardia.
can be given by IV, IO and through Endotracheal Tube.
doses:
500 microgram / ml/ IV every 3 – 5 minutes as needed, the
maximum total dosages is 3 mg (6 ampules)
10. Vasopressin
can be given through (IV, IO, ETT).
40 Units IV/IO push, may be given for once only as a replacement for
the first or second dose of epinephrine.
11. Diltiazem
Used for control the ventricular response rate in patients with Atrial
Flutter or Atrial Fibrillation.
15 – 20 mg IV over 2 minutes.
can repeat 20 – 25 mg over 2 – 5 minutes.
12. Dopamine
Second line drug for symptomatic Bradycardia when Atropine is not
effective.
2 – 10 microgram / kg/ min infusion
14. Lidocaine Doses
Cardiac arrest from VF/ Pulseless VT:
Initial dose, 1 – 1.5 mg / kg/IV
Stable VT, Wide QRS Tachycardia
From 0.5 – 0.75 mg / kg and up
to 1 – 1.5 mg/ kg.
Repeat 0.5 – 0.75 mg / kg every
5 – 10 minutes with maximum
total dose of 3 mg / kg.
16. Dose
IV 1 mg (10 ml of 1:10,000) followed by 20 ml Flush, At intervals of 3
- 5 min
Infusion :
1 mg (1 ml of 1:1000 Solution) added to 500 ml N/S or 5% D/W, run
at 2 – 10 mcg/min. Titrate to 2 - 10 mcg/min.
can be given by IV, IO and ETT.
