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Adult Cardiac Arrest Alg hi
% If no signs of return of
spontaneous circulation
(ROSC), goto 10 0r 11
‘ IFROSC, goto
Post-Cardiac Mate NeW NG Ut)
Dreyer
Atropine IV dose:
First dose: 1 mg bolus.
Repeatevery
3-5 minutes.
Maximum: 3 mg.
Dopamine
IVinfusion:
Usual infusion rate
is 5-20 meg/kg per
minute. Titrate to
patient response;
taper slowly.
Epinephrine
WVinfusion:
2-10 meg per minute
infusion. Titrate to
patient response. Adult Tachycardia With a Pulse Algorithm
rec mnepvereccncscoen
Heart rate typically 2150/min if tachyarrhythmia.
‘Synchronized
cardioversion:
Refer to your specific
device's recommended
energy evelto
maximize first shock.
success.
First dose:6 mg rapid IV
push: follow with NS flush.
‘Second dose: 12 mgif,
required.
Persistent
tachyarrhythmia
causing:
+ Hypotension?
Acutely altered
‘mental status?
“Antiarrhythmic Infusions
for Stable Wide-QRS
Tachycardia
ProcainamidelV dose:
20-50 mg/min until
‘arthythmia suppressed,
hypotension ensues,
ORS durationincreases
>50%, or maximum dose
7 mg/kg given.
Maintenance infusion:
14 mg/min, Avoidif
prolonged GT or CHF.
‘Amiodarone IV dose:
First dose: 150mg over
10minutes. Repeat as
neededif VT recurs.
Follow by maintenance
infusion of 1 mg/min for
first 6 hours.
Sotalol IV dose:
100 mg (1.5 mg/kg) over
Sminutes. Avoid if
prolonged QT.
