Indications:

 

• Shock resistant V-fib or pulseless V-Tac, Unstable V-Tach

 

Contraindications:

 

• Hypersensitivity to any of the contents
• Unmanaged cardiogenic shock
• Marked sinus bradycardia
• 2nd or 3rd degree AV blocks

 

Side Effects:

 

• Hypotension, bradycardia, AV block, asystole, PEA, hypertoxicity

 

ADULT

 

Pulseless VF/VT:

 

• 300mg IV/IO bolus; repeat once at 150mg IV/IO bolus

 

VT with pulse:

 

• 150mg in 50mL NS or D5W administered through a 10 gtt set over 10 minutes.
• May repeat once if patient remains in unstable VT to a total dose of 300mg over 20 minutes.

 

Maintenance Drip:

 

• 1mg/minute = 150mg in 50 mL NS or D5, administered through a 60 gtt set at 20 gtts per minute.

 

PEDIATRIC

 

Pulseless VF/VT:

 

• 5mg/kg IV/IO bolus

 

Termination of VF/VT:

 

• 5mg/kg IV/IO over 20 minutes

• Place amount of medication in 50 mL of NS or D5W, administered through a 10 gtt set over 20 minutes.

• Repeat doses of 5mg/kg IV/IO over 20 minutes; maximum 15mg/kg