Adenosine

SVT

ADULT

 6mg  1-2 mins repeat@12mg X2

PEDI

 0.1mg/kg rapid IV bolus

may repeat in 1-2mins @0.2mg/kg

IV PUSH FAST

antidysrhythmic

LIDOCAINE

TREATS

pulseless v-tach v-fib

ADULT

 1.0-1.5 mg/kg repeat@3-5 mins  conversion 2-4mg/min

PEDI

 1.0mg/kg repeat@3-5 mins up to 3mg/kg conversion 20-50micro/kg

TREATS

v-tach w/ a pulse

ADULT same except 5-10 mins on repeat

PEDI NO REPEAT

PROCAINAMIDE

convert pulseless v-tach and v-fib

refractory to lidocaine

ADULT 20-30mg/min IV up to 17mg/kg

PEDI 15mg/kg over 30-60 min

stabilizes membranes depresses action

potential phase 0

AMIODARONE

ventricular and SVT dysrhythmias (a-fib)

ADULT

 150-300mg IV over 10 mins followed 1mg/min  6 hrs

PEDI

5mg/kg IV/IO rapid bolus max dose 15mg/kg 

Diltiazem (Cardizem)

Ca channel blocker

TREATS

a-fib a-flutter PSVT(refractory to Adenosine)

INCREASE coronary perfusion

ADULT

0.25mg/kg IV bolus over 2 min if needed repeat @ 15min w/ 0.35mg/kg with an infusion of 5-10 mg/hr

NO PEDI

VERAPAMIL

Ca channel blocker

TREATS

PSVT refractory to Adenosine, A-fib, A-flutter

ADULT

2.5-5.0mg slow IV repeat if needed in 15-30 min

DO NOT EXCEED 30mg in 30 MIN

PEDI

Newborn-1yr 0.1-0.2 mg/kg

1yr-15yr 0.1-0.3mg/kg