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Epinephrine
Asystole, PEA, pulseless vtach/vfib: 1mg q3-5mins
Infusion: 2-10mcg/min second line for bradycardia
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Atropine
- .5mg q3-5mins. upto 3mg
- symptomatic bradycardia
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Amiodarone
pulseless vtach/vfib: 300mg 1st dose, 150mg second dose
stable VT: 150mg IV drip over 10 mins., may repeat once
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Adenosine
PSVTs: 6mg IV, repeat 12mg
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Lidocaine
pulseless VT/VF: 1.5mg/kig, repeat twice at .75mg/kg
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Metoprolol
Atrial fibrillation and flutter, second line PSVT: 5mg IV bolus q 5 mins. upto 3 doses
-
Diltiazem
- AF/A flutter, second line PSVT
- .25mg/kg IV, repeat in 10 mins at .35mg/kg
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Magnesium
torsades de pointes at 2 grams MgSo4 over 5 mins. infusion at .5 to 1 g/hr
-
Procainamide
- WPW +AF
- IV at 20mg/min to total 17mg/kig then drip at 1-4mg/min
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Vasopressin
expensive alternative to epinephrine IV 40 units once
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Dopamine
second line symptomatic bradycardia by IV drip rate 2-10mcg/kg/min
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