MT oko ee Gaeta
(Oxygen—improves tise oxygen
and corrects hypoxemia
Epinephrine—increases systemic vascular
resistance and BP; improves coronary
and cerebral perfusion and
myocardial contractility
‘Vasopressin (Pitressin) —increases systemic
vascular resistance and BP
‘Atgopine—blocks parasympathetic action;
increases SA node automaticity and
AV conduction
Sodium bicarbonate (NaHCOs)—corrects
‘metabolic acidosis
‘Magnesium —promotes adequate
functioning of cellular sodium
potassiam pump
Administered to ll patients with acute carding
ischemia or suspected hypoxemia, including
those with COPD
Given to patients in cardiac arest, especially
caused by asystole or pulseless electrical
activity; may be given if caused by ventricular
tachycardia or ventricular fibrillation
‘An alternative to epinephrine
Given to patients with symptomatic bradycacdia
(hemodynamically unstable, frequent
premature venteicular contractions, and
symptoms of ischemia)
Given to correct metabolic aeidsis that is
refractory to standard advanced candi ife-
support interventions (cardiopulmonary
resuscitation, intubation, and respiratory
management)
Given to patients with torsade de pointes
+ Use 100% FO; during reaucitation.
+ Recognize that lung damage is unlikely when
sed for short time.
* Monitor dose by pulse oximeter,
+ Administer I ma every 3-5 minutes by IV
push or through endotracheal tube
+ Avoid adding to IV lines that contain
alkaline solution (eg, bicarbonate).
* Give 40 U1V one tine only.
+ Give eapialy as 05 mag LV pus; may repeat
to dose of 3 me.
Be aware that less than 0.5 mg in adult ex
cause heart rate to decrease t0
‘worse bradycardia
+ Monitor patent for reflexive tachycardia
+ Administer intial dose of T mEg/ks IV then
axlminister dose hase on base deficit
calculated from arterial blood gas values.
+ Recognize that to prevent development
of rebound metabolic alkalosis, complete
correction of acidosis is not indicated.
4+ May give 1-2 ¢ diluted in 10 mL DW
cover 5-20 minutes.
+ Monitor for hypotension, asytole,
Iradycardi, and eespizatory paral.
Blood Pressure: 90/60 MM/HG To 120/80 MM/HG Breathing: 16 To 24 Breaths Per Minute Pulse: 60 To 100 Beats Per Minute Temperature: 97.8°F To 99.1°F (36.5°C To 37.5°C)