Cardiac Arrest Dosages

Question 1

Adrenaline - Adult Cardiac Arrest

Answer 1

1mg IV/IO every 3-5 minutes

Question 2

Adrenaline - Paediatric Post ROSC

Answer 2

Dilute 1mg Adrenaline in 9ml normal saline (1000 mcg in 10mls, 1:10,000)

1mcg/kg every 3-5 min (max bolus 50mcg) to maintain systolic blood pressure > 80 mmHg
Titrate Adrenaline as required, to achieve and / or maintain the SBP requirements as listed above.

Question 3

Amiodarone - Adult Cardiac Arrest

Answer 3

300mg in 6ml IV/IO as soon as practicable after 3rd shock

Repeat dose of 150mg in 3ml may be administered after 5th shock

Question 4

Intravenous Crystalloid Solution - Adult/Paediatric Cardiac Arrest

Answer 4

20ml/kg bolus as a reversible cause of hypovolaemia

Question 5

Intravenous Crystalloid Solution - Adult Post ROSC

Answer 5

250ml boluses to a maximum total of 500ml with reassessment between each infusion

Question 6

Adrenaline - Paediatric/newborn Cardiac Arrest

Answer 6

Dilute 1mg adrenaline in 9ml normal saline (1000 mcg in 10mls, 1:10,000)
10mcg/kg = 0.1ml/kg (1:10000) every 3-5 minutes.

Question 7

Adrenaline - Adult Post ROSC

Answer 7

Dilute 1mg Adrenaline in 9ml normal saline (1000 mcg in 10mls, 1:10,000)

50 mcg (0.5ml) every 3-5 min as required to maintain systolic blood pressure >90mmHg

Question 8

Intravenous Crystalloid Solution - Newborn Cardiac Arrest

Answer 8

10ml/kg as a reversible cause of hypovolaemia

Question 9

Intravenous Crystalloid Solution - Paediatric Post ROSC

Answer 9

10ml/kg, repeat once only with reassessment between each infusion (bolus max. 250ml)

Question 10

Amiodarone - Paediatric/Infant Cardiac Arrest

Answer 10

5mg/kg IV/IO (to maximum 300mg) as soon as practicable after 3rd shock
Repeat 5mg/kg IV/IO (to maximum 150mg) after 5th shock