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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.

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