CLASS: Antidysrhythmic

INDICATIONS:

1. Treatment of shock refractory VF/ pulseless VT
2. Treatment of polymorphic VT & wide complex tachycardia of uncertain origin.
3. Control of hemodynamically stable VT when cardioversion unsuccessful.
4. Adjunct to electrical cardioversion of SVT & PSVT.
5. May be used in rate control of atrial fibrillation & atrial flutter when other therapies ineffective.

PRECAUTIONS:

1. Vasodilation and hypotension
2. Negative Inotropic effects
3. Half-life lasts up to 40 days

DOSAGE:

Adult:

1. Cardiac Arrest-Adult:
   1. Initial 300 mg IV push (mix in 20ml D5W)
   2. 2nd Dose 150 mg IV push in 3-5 mintues (mix in 20ml D5W)

2. Wide-Complex Tachycardia-Adult (Stable)
   1. 150 mg IV over 10 minutes (may repeat every 10 minutes as needed) consult with Medical Control

Pediatric:

1. Cardiac Arrest-Adult:
   1. Initial 5mg/kg IV/IO (mix in 20ml D5W)

2. Wide-Complex Tachycardia-Adult (Stable)
   1. Initial 5mg/kg IV/IO over 20-60 (mix in 20ml D5W)