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Medications for Cardiac Arrest Management

This document summarizes medications used to treat cardiac arrest rhythms. It discusses vasopressors like epinephrine and vasopressin that are used for ventricular fibrillation (VF) and pulseless rhythms to increase coronary and cerebral perfusion. Atropine is used for asystole and pulseless electrical activity to reverse decreases in heart rate and blood pressure. Antiarrhythmics like amiodarone and lidocaine are used for VF and pulseless ventricular tachycardia, while magnesium may be used when those rhythms are associated with torsades de pointes. Adenosine is used for supraventricular tachycardia.

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Nick Alfaro
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73 views7 pages

Medications for Cardiac Arrest Management

This document summarizes medications used to treat cardiac arrest rhythms. It discusses vasopressors like epinephrine and vasopressin that are used for ventricular fibrillation (VF) and pulseless rhythms to increase coronary and cerebral perfusion. Atropine is used for asystole and pulseless electrical activity to reverse decreases in heart rate and blood pressure. Antiarrhythmics like amiodarone and lidocaine are used for VF and pulseless ventricular tachycardia, while magnesium may be used when those rhythms are associated with torsades de pointes. Adenosine is used for supraventricular tachycardia.

Uploaded by

Nick Alfaro
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Medications for Arrest Rhythms

Vasopressors:
 VF and Pulseless
A. Epinephrine- Increase coronary and cerebral
perfusion.
Dose: 1mg IV every 3-5 mins
2-2.5mg + 10ml NSS/ET
B. Vasopressin- Peripheral vasoconstrictor.
Dose: 40 u IV single dose-(may replace either 1 st or 2nd
dose of epinephrine.
• Asystole/ Pulseless electrical activity.
A. Epinephrine and Vasopressin-(same as above)
B. Atropine- reverses cholinergic mediated decrease in heart rate,
systemic vascular resistance and blood pressure. A case series of
adults in cardiac arrest documented conversion from asystole to
sinus rhythm in 7 of 8 patients.
-1st line of drug for acute symptomatic bradycardia.
Dose: 1mg IV every 3-5mins (max. total of 3 doses or3mg) or
0.04mg/kg
• Antiarrhythmics
A. VF and pulseless VT
a. Amiodarone- Affects Na, K and Ca channels as well as
alpha and beta adrenergic blocking properties.
-If VF and Pulseless VT unresponsive to
shock delivery, CPR and vasopressor.
Dose: Initial 300mg IV + 20-30 ml NSS or
D5water x 1-2 mins if consistent may
give 150mg IV over 10mins.
Max dose: 2.2g/day
b. Lidocaine- Alternative antiarrhythmic.
-Considered alternative treatment to
amiodarone.
Dose: 1-1.5mg/kg IV then 0.5-0.75 mg/kg IV.
May repeat after 5-10 mins. Interval.
Max. dose: 3mg/kg.
Via ET: 2-4mg/kg
c. Magnesium- when VF/ pulseless VT associated
with torsdes de pointes.
Dose: 1-2gm in 10ml D5water IV push
typically over 5-20mins.
Torsades with pulse
Dose: 1-2 gm in 50-100ml D5water over 5-
60mins.
• SVT
A. Adenosine- Dose: 6mg rapid IV push; if no
conversion give 12mg rapid IV push and may
repeat 12 mg dose once.
THANK YOU
AND HAVE
ANICE DAY!

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