Medication for Cardiac Arrest

Topics: Cardiology, Beta blocker, Hypertension Pages: 2 (260 words) Published: July 23, 2013
Medications for cardiac arrest
* Epinephrine 1mg iv bolus every 3-5 mins
* Vasopressin- alternative to epinephrine
* Treatment for vf, vt, pea, asystole
* Dose: 40 units iv single
* Norepinephrine – for severe hypotension
* For low total peripheral resistant
* Dose 0.1-0.5 mcg/kg/min infusion
* Not use for cardiac arrest
* Dopamine – Dose: 2-20 mcg/kg/min infusion, titrate to patient response * Do not administer in same iv line as Na bicarb
* Dobutamine – for severe systolic heart failure (SBP 70-100mmhg) * Improves/increases cardiac output
* Dose: 2-20 ug/kg/min

Agents used for SHOCK
* Buffers: Sodium Bicarbonate
* Diuretics: Furosemide
Antiarrhytmic drugs for TACHYCARDIA
* Adenosine – should be used in SVT
* Caution for asthmatic patients.
* Calcium channel blockers:
* Verapamil – contraindicate in hypotensive patients.
* Beta-Adrenergic Blockers: Labetalol
* Amiodarone – contraindicated in patients with corsade pointes * Magnesium – effectively terminates torsades de pointes Antiarrhytmic drugs for BRADYCARDIA
* Atropine – for bradycardic and unstable
* Use caution with MI
* Isoproterenol – Pure Beta agonist.
Miscellaneous drugs
* Digoxin – to slow down heart rate in AF/flutter
* Nitroglycerine – decreases chest pain in ACS, CHF.

Anti-arryhtmic drugs in pregnancy:
* Lidocaine
* Flecainide
* Beta blockers
* Digoxin
DEFIBRILLATION – Use of electrical current
* Do not defib in asystole
Defibrillators – deliver current in one polarity
“Im going to s0ne-im clear, two- your clear, three- everybody clear” CARDIOVERSION – shock delivered that is timed with the QRS COMPLEX. Only for ECGs with QRS complex Comotio cordis - search
CARDIAC PACING – NOT recommended for asystole
Types of PACING
1. Transcutaneuos
2. Transvenous
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