ACLS Drugs

adenosine: 6-12 mg iv push with saline flush q 5 min
amiodarone:

·  Non-cardiac arrest

load 15 mg/min over 10 min (150 mg) (mix 150 mg in 100cc D5W in......

PVC or Glass, infuse over 10 min) then 1 mg/min x 6 hrs (mix 900 mg in 500 cc D5W)

then 0.5 mg/min x 18 hrs and beyond; supplemental bolus: 15 mg/min x 10 min

Cardiac arrest

300 mg iv push (diluted in 20 cc D5W) can consider repeat 150 mg iv x 1 Max dose: 2.2 gm in 24hrs

epinephrine: 1 mg q3-5 min iv
diltiazem:

load 0.25mg/kg iv over 2 min, then 0.35mg/kg over 2 min in 15 min

infuse 5-15 mg/hour

ibutilde:

>60 kg 1 mg

<60 kg 0.01 mg/kg over 10 min may repeat x 1 make sure K>4.0 and Mg normal.

not recommended for low EF

lidocaine:

1 mg/kg bolus additional 0.5 mg/kg q8-10 min, up to total 3 mg/kg.

Then infuse 1-4 mg/min

magnesium sulfate: 1-2g over 5-60 min
procainamide:

load 20 mg/min up to 17 mg/kg (1000 mg) then infuse 1-4 mg/min

Side Effects: HTN, torsade

vasopressin: 40 IU x 1 dose only (for pulseless VT/VF)
verapamil: 2.5-5-10 mg bolus