Antiarrhythmic Drugs and Bradycardia Drugs

Question 1

Metoprolol

Answer 1

5 mg IV q5min (max 3 doses)

Question 2

Diltiazem

Answer 2

0.25 mg/kg

Question 3

Amiodarone: Pulseless Vtach, Vfib, Vtach with pulse, SVT

Answer 3

Pulseless Vtach/Vfib: 300 mg IV bolus with 29 cc 5%dextrose flush followed by 150 mg bolus IV PRN q5min
Vtach with pulse/SVT: 150 mg in 100 mL over 10 min followed by 1 mg/min drip over 6 hours followed by 0.5 mg/min for 18 hours

Question 4

Cardioversion Joules

Answer 4

Afib/flutter with RVR: 200 J
SVT: 50-100 J
VT with pulse: 100 J

Question 5

Atropine

Answer 5

0.5 mg q3-5 mins (max 3 mg)

Question 6

Epinephrine for pulseless

Answer 6

1 mg (1:10,000) IV q3-5 min
0.01mg/kg IV (0.1 cc/kg of 1:10,000)

Question 7

Epinephrine drip for bradycardia

Answer 7

Initial 2-10 mcg/min of 1 mg in 500 mL escalating q3-5 min

Question 8

Defibrillation Joules in adults

Answer 8

Vfib/VT without a pulse: Defibrillate 200J for adults

Question 9

Adenosine in adults

Answer 9

6 mg –> 12 mg in adults

Question 10

Adenosine in kids

Answer 10

0.1mg/kg –> 0.2 mg/kg in kids

Question 11

Defibrillation Joules in kids

Answer 11

2 J/kg –> 4 J/kg for kids

Question 12

Cardioversion Joules in kids

Answer 12

Kids: 0.5 J/kg

Question 13

Amiodarone in pulseless Vtach/Vfib in kids

Answer 13

5 mg/kg bolus

Question 14

Atropine in kids

Answer 14

0.02 mg/kg (min 0.1), may repeat once

Question 15

Magnesium

Answer 15

1-2 g in 10 ml 5% dextrose in water over 1 min