by btyre


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Adenosine
6 the 12/12 mg IV push. 1st drug for PSVT. Does not convert a fib / a flutter or VT.
Amiodarone
300 mg IV/IO initial then 150 mg q 3- 5 min for cardiac arrest. Max cumulative dose is 2.2 g IV/24hr.  1-15 mg/min IV for stable wide complex tachycardia.
Atropine
1 mg IV/IO q 3-5 for asystole/bradycardiac PEA. For bradycardia .5 mg.   3 mg max.
CaCl2
2-4 mg/kg q10 min prn for cardiac arrest with high K, Low Ca, or Ca channel block OD.
Diltiazem
.25 mg/kg IV over 2 min. After 15 min, .35 mg/kg; Infuse at 5-15 mg/hr, titrate to HR.
Epinephrine
1 mg IV/IO q3-5 min for VF/pulseless VT, asystole and PEA.
Isoproterenol
2-10 mcg/min IV. Not indicated for cardiac arrest. Titrate to adequate HR.
Lidocaine
1 to 1.5 mg/kg IV/IO initial, 30 to 50 mcg/kg/min infusion .5 to .75 mg/kg after 5-10 min; for persistent VF/VT Max total dose of 3 mg/kg.
Magnesium
1-2 g IV in 100 ml D5W infuse at .5-1 g/hr (for torsades, low Mg, refractory VF.
NaHCO3
1 mEq/kg IV initial then .5 mEq/kg q10 min ABG; .3 x wt(kg) x base deficit; do not mix with catecholamines or calcium salts, helpful with high K.
Procainamide
20 mg/min IV infusion maximum 17mg/kg, 100 mg IVP q5m if refractory VF/VT.
Vasopressin
40 U IV/IO/ET x1 Alternative pressor to epinephrine in cardiac arrest.
NAVEL
Naloxone, Atropine, Vasopressin, Epinephrine, Lidocaine. May be given via ETT in 10 cc NS, at 2-3x IV dose, Vasopressin x1.
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