1. ACLS Drugs: VF/VT:
-Epinephrine
-vasopressin
-amiodarone
-lidocaine
Asystole/PEA:
-Epinephrine
-Vasopressin
Bradycardia:
-Atropine
-Epinephrine
Tachycardia:
-adenosine
-amiodarone
2. Adenosine: 6 mg over 1-2 seconds followed by 20 ml NS bolus. If not successful, administer
12 mg in 1-2 minutes.
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, 3. Adenosine indication: To revert Paroxysmal SVT to normal sinus rhythm by slowing cardiac
conduction.
4. Adenosine precautions: Some *side effects* of adenosine administration incude flushing,
chest
pain/tightness, brief asystole or bradycardia.
*2nd and 3rd degree block* is contraindicated. Make sure that adenosine is not used for irregular,
polymorphic wide-complex tachycardia and *unstable VT*. Use in these cases may cause clinical
deterioration.
Safe and effective in pregnancy
5. Amiodarone Dosage: V-fib/V-tach - First dose: 300mg bolus. 2nd dose: 150mg (in 3-5
minutes if no conversion)
*The maximum cumulative dose in a 24 hour period should not exceed 2.2 grams.*
For Tachycardia other than pulseless VT/VF: 150 mg over 10 minutes ’repeat as needed if VT recurs
’maintenance infusion of 1mg/min for 6 hours
*Amiodarone should only be diluted with D5W*
6. Amiodarone Indication: Class: Antiarrhythmic.
Treats both supraventricular arrhythmias and ventricular arrhythmias. *Primarily treats V-fib and V-tach*
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