Drugs

Question 1

Epinephrine 1:10,000-Cardiac arrest

Answer 1

1 mg IV/IO q 3-5 min

Question 2

Vasopressin- cardiac arrest

Answer 2

40 U IV/IO, single dose; Optional: may replace 1st or 2nd dose of Epi

Question 3

Atropine - symptomatic brady

Answer 3

0.5 mg IV/IO May repeat 3-5 min prn to a max of 3 mg

Question 4

Dopamine - symptomatic bradycardia

Answer 4

2-10 mcg/kg/min IV/IO infusion

Question 5

Amiodarone - VF/VT arrest:

Answer 5

300 mg IV/IO; may redose PRN at 150 mg in 3-5 min

Max dose fo cardiac arrest: 450 mg

Question 6

Amiodarone: tachycardia w/ pulse

Answer 6

150 mg diluted in 100 ml adm IV/IO over 10 min

May repeat q 10 min PRN to a max of 2.2 gm/24 hrs

Question 7

Lidocaine: option for VT/VF; stable monomorphic or polymorphic VT

Answer 7

1-1.5 mg/kg IV/IO
Repeat dose PRN 0.5-0.75 mg/kg q 5 min
Max dose 3 mg/kg

Question 8

Mg++ Sulfate: Polymorphic VT arrest

Answer 8

1-2 gm diluted in 10 ml IV/IO

Question 9

Mg++ Sulfate: Torsades de Pointes w/ pulse

Answer 9

1-2 gm diluted in 50-100 ml IV/IO over 5-60 min

Question 10

Procainamide -Wide QRS tachycardia

Answer 10

20-50 mg/min IV/IO
Max dose 17 mg/kg
Stop dose when arrhythmia is suppressed, low BP, QRS widens by >50% or max dose is reached
MT dose 1-4 mg/min

Question 11

Na+Bicarb - cardiac arrest

Answer 11

1 mEq/kg IV/IO; repeat PRN 0.5 mEq/Kg q 10 min

use only in known acidosis, hyperkalemia or prolonged CPR with effective ventilation

Question 12

Adenosine - SVT

Answer 12

6 mg rapid IV/IO
Repeat dose PRN (once only) 12 mg after 1-2 min
Follow drug adm with 20-30 ml saline flush
Maximimum dose 18 mg

Question 13

Dextrose -Hypoglycemia

Answer 13

25 gm D50 IV/IO