Cardiac Resuscitation

Arrest meds

• Epinephrine (Cardiac Arrest)

  Pulseless arrest, asystole, PEA

  IV/IO
  Dose

  0.700 mg

  Volume

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

• Amiodarone (Arrest)

  VF/pulseless VT

  IV/IO
  Dose

  300 mgMax

  Volume

  6.00 mL
  ⚠Capped at max dose — Max single dose: 300 mg
  IV/IO bolus• 50 mg/mL• 5 mg/kg

• Lidocaine (Arrest)

  VF/pulseless VT alternative to amiodarone

  IV/IO
  Dose

  70.0 mg

  Volume

  3.50 mL
  IV/IO bolus• 2% (20 mg/mL)• 1 mg/kg

• Sodium Bicarbonate

  Severe acidosis, TCA OD, hyperK+

  IV/IO
  Dose

  50.0 mEqMax

  Volume

  50.0 mL
  ⚠Capped at max dose — Max single dose: 50.0 mEq
  IV/IO slow push• 8.4% (1 mEq/mL)• 1 mEq/kg

• Calcium Chloride 10%

  HyperK+, hypocalcemia, CCB OD

  IV/IO
  Dose

  1000 mgMax

  Volume

  10.0 mL
  ⚠Capped at max dose — Max single dose: 1000 mg
  IV/IO central preferred• 100 mg/mL• 20 mg/kg

Rhythm management

• Atropine

  Symptomatic bradycardia, organophosphate

  IV/IO
  Dose

  0.500 mgMax

  Volume

  5.00 mL
  ⚠Capped at max dose — Max single dose: 0.500 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.

• Adenosine (1st dose)

  SVT

  Rapid
  Dose

  6.00 mgMax

  Volume

  2.00 mL
  ⚠Capped at max dose — Max single dose: 6.00 mg
  Rapid IV push + flush• 3 mg/mL• 0.1 mg/kg

• Adenosine (2nd dose)

  SVT if 1st dose fails

  Rapid
  Dose

  12.0 mgMax

  Volume

  4.00 mL
  ⚠Capped at max dose — Max single dose: 12.0 mg
  Rapid IV push + flush• 3 mg/mL• 0.2 mg/kg

• Amiodarone (Perfusing)

  SVT/VT with pulse

  IV
  Dose

  300 mgMax

  Volume

  6.00 mL
  ⚠Capped at max dose — Max single dose: 300 mg
  IV over 20-60 min• 50 mg/mL• 5 mg/kg

• Procainamide

  SVT, VT with pulse

  IV
  Dose

  1000 mgMax

  Volume

  10.0 mL
  ⚠Capped at max dose — Max single dose: 1000 mg
  IV over 30-60 min• 100 mg/mL• 15 mg/kg

Defibrillation / Cardioversion