Professional Documents
Culture Documents
MEDICATION
Routes of Administration
7
AMIODARONE
Dosage:
VF/pulseless VT = 300mg IVP/IO
may repeat one time at 150mg IVP/IO
LIDOCAINE
Indication:
Consider using if amiodarone not available or allergy to
Amiodarone
LIDOCAINE
▪ Dosage:
1-1.5 mg/kg/dose x 1
then 0.5 – 0.75 mg/kg q 5-10 min (max. 3 doses or
3mg/kg)
MAGNESIUM SULFATE
Dosage:
Pulseless arrest w/ Torsades,
= 1 – 2 grams
Administration in Cardiac Arrest
Vasopressor Infusions:
▪ Epinephrine 0.1-0.5 mcg/kg/min
▪ Dopamine 5-10 mcg/kg/min
▪ Norepinephrine 0.1-0.5 mcg/kg/min
BRADYCARDIA
Bradycardia
• Hypotension
• Acutely altered mental status
• Signs of shock
• Ischemic chest discomfort
• Acute heart failure
First-line treatment
Atropine 0.5 mg IV – may repeat to a total dose of 3 mg
Transcutaneous
pacing
OR DOPAMINE
2 to 10 mcg/kg per minute
(chronotropic or heart rate dose)
OR 2 to 10 mcg/min
EPINEPHRINE
TACHYCARDIA
FOR
TACHYCARDIA
Tachycardia
CARDIOVERSION
Unstable Tachycardia
Sign & symptoms :
▪ Hypotension
▪ Acutely altered mental status Consider of giving
adenosine, if
▪ Signs of shock regular narrow
▪ Ischemic chest discomfort complex
Second dose :
12 mg if required
Tachycardia
Stable Tachycardia
Oxygen
Start at 4 LPM and Titrate to maintain O2
saturation <94%
MONA
Aspirin – 160mg – 325 mg (absorbed better if chewed)
- Aspirin (non-enteric coated) should be administered to ALL
patients suspected of acute coronary syndromes, unless
there is a true aspirin allergy or recent GI bleed.
MONA
Nitroglycerin
Dosage:
▪ IV Nitroglycerin
▪ Heparin
▪ Clopidogrel (Plavix)
▪ Beta Blockers
▪ ACE Inhibitors
▪ Statin Therapies
Medications for
Stroke
Fibrinolytic Therapy
▪ Breaks up the fibrin network that binds clots together