Cardiac Resuscitation

No patient weight set. Open Pediatric Weight, Age, Height, or Length Tape to enable dose calculations.
Arrest meds

  • Pulseless arrest, asystole, PEA

    IV/IO
    Adult: 1 mg IV/IO q3-5 min
    IV/IO every 3-5 min• 1:10,000 (0.1 mg/mL)• 0.01 mg/kg

  • VF/pulseless VT

    IV/IO
    Adult: 300 mg IV/IO; repeat 150 mg
    IV/IO bolus• 50 mg/mL• 5 mg/kg

  • VF/pulseless VT alternative to amiodarone

    IV/IO
    Adult: 1-1.5 mg/kg IV/IO
    IV/IO bolus• 2% (20 mg/mL)• 1 mg/kg

  • Severe acidosis, TCA OD, hyperK+

    IV/IO
    Adult: 50 mEq IV
    IV/IO slow push• 8.4% (1 mEq/mL)• 1 mEq/kg

  • HyperK+, hypocalcemia, CCB OD

    IV/IO
    Adult: 1 g IV
    IV/IO central preferred• 100 mg/mL• 20 mg/kg
Rhythm management

  • Symptomatic bradycardia, organophosphate

    IV/IO
    Adult: 0.5-1 mg IV q3-5 min, max 3 mg
    IV/IO• 0.1 mg/mL• 0.02 mg/kg

    Min single dose 0.1 mg (avoid paradoxical bradycardia). Max single 0.5 mg child / 1 mg adolescent.

  • SVT

    Rapid
    Adult: 6 mg rapid IV push
    Rapid IV push + flush• 3 mg/mL• 0.1 mg/kg

  • SVT if 1st dose fails

    Rapid
    Adult: 12 mg rapid IV push
    Rapid IV push + flush• 3 mg/mL• 0.2 mg/kg

  • SVT/VT with pulse

    IV
    Adult: 150 mg IV over 10 min
    IV over 20-60 min• 50 mg/mL• 5 mg/kg

  • SVT, VT with pulse

    IV
    Adult: 20-50 mg/min, max 17 mg/kg
    IV over 30-60 min• 100 mg/mL• 15 mg/kg
Defibrillation / Cardioversion
Defib (1st)—
Defib (subsequent)—
Sync cardioversion—