Ventricular Fibrillation/Ventricular Tachycardia
Defibrillate | EXTERNAL | 4-6 joules/kg: | to | joules | ||
INTERNAL | 0.5-1 joule/kg: | to | joules | |||
Provide 1 shock or Precordial Thump (if no defibrillator) | ||||||
Resume chest compressions: 120 seconds | ||||||
With prolonged VF/VT (> 10 min), consider: | ||||||
Epinephrine (1 mg/ml) | LOW | 0.01mg/kg IV: | mls. IV | |||
OR | ||||||
Vasopressin (20 U/ml) | 0.8 U/kg IV: | mls. IV | ||||
AND | ||||||
Amiodarone (50 mg/ml) | 5 mg/kg IV: | mls. IV | ||||
OR | ||||||
Lidocaine (dogs) (20 mg/ml) | 2 mg/kg IV: | mls. IV | ||||
Use Lidocaine in dogs only if amiodarone is not available. | ||||||
Repeat Debrillation 2X initial Dose |
Asystole/Bradycardia/Pulseless Electrical Activity
Consider Vasopressin/Epinephrine every other 2 minute BLS cycle | ||||||
Epinephrine (1 mg/ml) | 0.01 mg/kg IV: | mls. IV | ||||
OR | ||||||
Vasopressin (20 U/ml) | 0.8 U/kg IV: | (one time only) | mls. IV | |||
AND | ||||||
Consider Atropine every other 2 minute BLS cycle |
||||||
Atropine (0.54 mg/ml) | 0.04 mg/kg IV: | (every other cycle only) | mls. IV | |||
If available, consider transthoracic pacing. Must be instituted early |
Intratracheal Doses
Epinephrine (1 mg/ml) | mls. Intratracheal | |
Atropine (0.54 mg/ml) | mls. Intratracheal | |
Lidocaine (20 mg/ml) | mls. Intratracheal | |
Naloxone (0.4 mg/ml) | mls. Intratracheal |
Anesthesia-related arrest
Turn off vaporizer, Flush circuit, Administer drug reversal agents, 0.01 mg/kg epinephrine (During CPR:
Consider open chest CPR | ||||||
Consider Sodium Bicarbonate | 1-2 mEq/kg IV | to | mls. IV | (for prolonged arrest > 10 minutes) | ||
Consider 10% Calcium Chloride | 0.1 ml/kg IV | mls. IV | (slowly in patients with hyperkalemia or ionized hypocalcemia) | |||
Consider Magnesium Chloride | 30 mg/kg IV | mls. IV | for refractory ventricular arrhythmias | |||
Consider 50% Dextrose | 1 ml/kg IV | mls. IV | in hypoglycemic patients |