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•Intravenous bolus 0.5 to 1 mg every 3 - 5 minutes until symptoms have resolved •The full vagolytic dose of .04mg/kg or 3mg total •Asystole, a dose of 1mg every 3 - 5 minutes |
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•Standard dose is 1 mg •Every 3 – 5 minutes during CPR •Endotracheal tube is 2 times the normal IV dose |
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•Endotracheal tube administration •2 - 2.5 times the intravenous dose (2 - 2.5mg/kg) •Administer 100mg/10ml syringe •Follow with several forceful insufflations of the ambu bag. •In non-cardiac arrest an initial bolus of 1-1.5 mg/kg drip (2-4mg/min) •2nd bolus of 0.5mg/kg after 10mins •Additional bolus 0.5 - .75 mg/kg every 5-10min for a maximum dose of 3mg/kg •Start a Lidocaine drip of 2 - 4 mg/min. •Refractory V-fib or pulseless V-tach the initial bolus should be 1 - 1.5mg/kg |
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•V-fib/V-tach arrest give 300mg IV bolus •Atrial or ventricular arrhythmias •150mg over 10min •Then, 1mg/min for 6hrs then 0.5mg/min •May repeat the 150mg slow bolus as needed •Maximum total dose is 2gm/day |
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•For PVCs and V-tach dose is 20 - 30mg/min until: •Arrhythmia is suppressed •Hypotension occurs •QRS widens by 50% •17mg/kg is given •1.2 gm for 70kg patient) •In urgent situations up to 30mg/min can be given until the 17mg/kg is given. •The maintenance, continuous infusion rate is 1 - 4mg/min |
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•For V-fib or V-tach: •1 - 2gm diluted in 100ml normal saline administered over 1 - 2 minutes •Post MI: •Loading dose = 1 - 2gm in 50 - 100 ml administered over 5 - 60 minutes |
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•6 mg rapid bolus over 1 - 3 sec followed by a 20ml flush •If no response within 1 - 2 min administer 12mg in the same manner. •If there is still no response, administer another 12mg. |
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Initial dose is 2.5 - 5.0 mg IV over 2 minutes Repeat doses are 5 - 10 mg given every 15 - 30 min to a maximum of 20mg. Supplied in 5mg and 10mg ampules or syringes Protect from light Discard if precipitated or discolored |
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•Initial bolus of 0.25 mg/kg (20 mg for the average patient) IV over 2 minutes •For control of ventricular response rate in A-fib or A-flutter •The bolus dose is followed by a maintenance infusion of 5 - 15 mg/hr titrated to the heart rate. •Infusion duration exceeding 24hrs and infusion rates above 5mg/hr not recommended •If satisfactory ventricular rate control is not achieved •A 0.35 mg/kg bolus over 2 - 5 minutes may be given after initial bolus. •For PSVT give a bolus of 0.25mg/kg over 2 minutes. •If PSVT fails to convert: •A second bolus of 0.35mg/kg can be given 15 minutes after the initial dose. |
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•10 - 20 mg TID for control of angina •Maximum dosage is 180mg/day () |
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•IV 0.1mg/kg divided into 3 equal dosages at 2 - 3 minute intervals •Rate of administration should not exceed 1mg/min. |
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•5 - 10mg slow IV push at 5 minute intervals •Total of 15mg |
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•5gm/500ml of normal saline or D5W for a concentration of 10mg/ml •Loading dose •250 - 500 mcg/kg/min for 1 min •Followed by 25 - 50 mcg/kg/min infusion •Titrate at 25 - 50 mcg/kg/min every 5 minutes to effect |
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•5 mg IV •If initial dose well tolerated repeat in 10 minutes •If IV dose well tolerated then give 50mg orally 10 minutes after last bolus. •Repeat in 12 hours. |
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•100mg/ml packaged in a 10ml prefilled syringe or ampule of a 10% solution •2 - 4mg/kg IVP repeated every 10 minutes •Calcium gluceptate •500 - 700mg •Calcium gluconate •500 - 800mg •Calcium chloride is preferred because it produces consistently higher plasma levels. |
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