Medication for Cardiac Arrest

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
Agents used for HEART FAILURE/PULMONARY EDEMA * 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
ELECTRICAL THERAPIES
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
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CARDIAC PACING – NOT recommended for asystole
Types of PACING 1. Transcutaneuos 2. Transvenous
PRECORDIAL THUMP
Hypoxia