Identify the pharmacologic therapy for the following rhythms.

Identify the pharmacologic therapy for the following rhythms.
1.

a.  Adenosine 6mg IV fast flush, followed by 12mg if rhythm unchanged
b.  Amiodarone 150mg IV infused over 20 minutes, may repeat once
c.  Atenolol 5mg IV over 5 minutes
d.  Atropine 0.5mg IV up to 0.4mg/kg

2.

Serum potassium of 6.9

a.  Lidocaine 1.5mg/kg IV push
b.  Calcium chloride 10%, D50, Insulin
c.  Epinephrine or Vasopressin
d.  Nitroglycerin and Nipride

3.

a.  Calcium gluconate
b.  Sodium bicarbonate
c.  Thiamine hydrochloride
d.  Magnesium

4.

Wide complex tachycardia

a.   Diltiazem 15-20mg IV over 2 minutes
b.   Dobutamine 2-20mcg/kg/min
c.   Naloxone 0.4mg up to 6mg
d.   Adenosine 6mg rapid IV push

5.

a.   Procainamide 1-4mg/min infused until rhythm surpressed
b.   Lidocaine 0.75mg/kg if rhythm refractory to initial dose
c.   Epinephrine 1mg (1;10,000) IV q3-5 minutes
d.   Digoxin 0.25mg IV q4h x 4.



Answers
1.  d.  Atropine 0.5mg IV up to 0.4mg/kg
2.  b.  Calcium chloride 10%, D50, Insulin
3.  d.  Magnesium
4.  d.   Adenosine 6mg rapid IV push
5.  c.   Epinephrine 1mg (1;10,000) IV q3-5 minutes



Reviewed on 3/2/16