Identify the pharmacologic therapy for the following rhythms.

Identify the pharmacologic therapy for the following rhythms.
1.

a.  Atropine 0.5mg IV q3-5 minutes
b.  Diltiazem 15-20mg IV over 2 minutes
c.  Epinephrine 1mg (1:10,000) IV q3-5 minutes
d.  Adensoine 150mg IV in D5W infused over 10 minutes


2.

PEA rhythm: idioventricular rhythm

a.  Magnesium Sulfate 1-2mg IV push
b.  Verapamil 2.5mg IV push, may repeat in 10 minutes at 5mg
c.  Dobutamine 2-10 mcg/kg/min titrated for heart rate over 70
d.  Epinephrine 1mg (1:10,000) IV push, may repeat 3-5 minutes


3.

a.  Amiodarone 300mg IV push, may repeat at 150 mg in 10 minutes
b.  Adensoine 12mg IV using fast flush technique
c.  Atropine 0.5mg IV q3-5 minutes
d.  Lopressor 5mg IV q5 minutes, up to 3 doses.


4.

a.  Magnesium 1-2gm IV
b.  Potassium 20mEq IV over 1 hour
c.  Calcium chloride 10% IV
d.  Sodium Bicarbonate 1mEq/kg IV

5.

Pulseless VT

a.  Amiodarone 300mg IV push
b.  Lidocaine 2.5mg IV over 10 minutes
c.  Epinephrine 1mg/min for 6 hours, then 0.5mg/min for 18 hours
d.  Esmolol 500mcg/kg bolus followed by an infusion at 50mcg/kg/min



Answers
1.  b.  Diltiazem 15-20mg IV over 2 minutes
2.  d.  Epinephrine 1mg (1:10,000) IV push, may repeat 3-5 minutes
3.  c.  Atropine 0.5mg IV q3-5 minutes
4.  a.  Magnesium 1-2gm IV
5.  a.  Amiodarone 300mg IV push



Reviewed on 3/2/16