It is important to note that refractory Vfib is when Vfib rhythm persists despite intervention, while recurrent Vfib is when a patient is
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:
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
Pediatric Dosage of Amiodarone. When using amiodarone to treat VFib or pulseless V-tach, a first dose will be 5mg/kg via IV or IO push. This dose may be
Lidocaine: Drug of 2nd choice (vs amiodarone) to terminate VTach and prevent VFib after DC cardioversion. Used only in a
If pulseless VT or Vfib go ahead then defibrillate (unsynched) and continue defibrillating during pulse/rhythm checks. Pulseless VT or Vfib can get amiodarone
Pediatric Dosage of Amiodarone. When using amiodarone to treat VFib or pulseless V-tach, a first dose will be 5mg/kg via IV or IO push. This dose may be
Pulseless VT or Vfib can get amiodarone 300mg bolus, second dose can be 150mg. lower BP, and reduce fluid returning to heart/lungs; Give hydralazine IV to
Pediatric Dosage of Amiodarone. When using amiodarone to treat VFib or pulseless V-tach, a 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. For life threatening arrhythmias, a maximum accumulated dose is 2.2 grams via IV or IO over a 24-hour period.
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