Drug of 2nd choice (vs amiodarone) to terminate VTach and prevent VFib after DC cardioversion compared to verapamil or diltiazem. Note that maneuvers
When using amiodarone to treat VFib first dose will be 5mg/kg via IV or IO push. This dose may be repeated 1-2 times for refractory VFib or pulseless V-tach.
Epi and Amiodarone is traditionally given alternating in Vtach/Vfib. Epi is written as 3-5 minutes because each round of compressions is 2
High-dose epinephrine is Amiodarone or lidocaine may be consideration to Vfib/pulseless Vtach that is unresponsive to defibrillation.
Pulseless VT or Vfib can get amiodarone 300mg bolus, second dose can be 150mg. If PEA arrest or asystole do not defibrillate. ROSC (return of spontaneous
High-dose epinephrine is Amiodarone or lidocaine may be consideration to Vfib/pulseless Vtach that is unresponsive to defibrillation.
If the patient remains in persistent VFib following the initial defibrillator shock and the first dose of epi, the next medication to be given is amiodarone at 300mg via rapid IV or IO push. A second dose of amiodarone can be given at 150mg. This dose can only be repeated one time after 3 to 5 minutes. Successful treatment of VFib continues by:
Class III: AMIODARONE, dronedarone, sotalol, ibutilide, dofetilide Drug of 2nd choice (vs amiodarone) to terminate VTach and prevent VFib after DC
It is important to note that refractory Vfib is when Vfib rhythm persists despite intervention, while recurrent Vfib is when a patient is
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