What Emergency Drug is the best for asystole, has less s/e than epi, maybe use in vfib & pulseless vtach?
This drug blocks teh effects of the vagus nerve.
It is the first drug for symptomatic sinus bradycardia
Also drug for 1st & 2nd degree block
The second drug after epi for asystole
You can give this IV push for cardiac arrest
It may produce vasodilation, hypotension, may have neg inotropic effects
It affects sodium, potassium, & calcium channels
Adverse effect: skin turns blue!!!
Has EXTREMELY LONG 1/2 life (last up to 40 days)
For cardiac arrest: torsade de points, hypomagneesemia
For refractory vfib (after lidocaine)
For life threatening ventricular arrhythmias from dig tox
WATCH OUT FOR:
Occasional fall in BP w/ rapid administration.
Use w/ caution in renal failure