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 |
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| 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 |
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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 | |||