Vasopressin
(pitressin)/Hormone, vasopressor
A hormone with a strong vosopressive and antidiuretic properties but that may precipitate angina and/or AMI
Indications: To increase peripheral vascular resistance in arrest (CPR) or control bleeding from esophageal varices
Contraindications: Chronic nephritis with nitrogen retention, ischemic heart disease, PVC's, advanced arteriosclerosis, or 1st stage of laborDosage: Arrest
Lidocaine (Xylocaine)/ antidysrythmic
an antidysrythmic the suppress automaticity and raises stimulation threshold of the ventricles. It also causes sedation, anticonvulsant, and analgesic effects.
Indications: Pulseless ventricular tachycardia, ventricular fibrillation, ventricular tachycardia(w/pulse)
Contraindications: Hypersensitivity to amide-type local anesthetics. supraventricular dysrythmias, Stokes-Adams syndrome, 2nd and 3rd degree heart blocks, and bradycardiaDosage: Cardiac arrest; 1 to 1.5 mg/kg IV repeated every 3 to 5 min. up to 3 mg/kg, follow conversion with a drip of 2 to 4 mg/min. PED 1 mg/kg repeat every 3 to 5 min up to 3 mg/kg follow conversion with a drip of 20 to 50 mcg/kg/minVentricular tachycardia(w/pulse): 1 to 1.5 mg/kg slow IV. May repeat at one-half dose every 5 to 10 min until conversion up to 3 mg/kg. Follow conversion with an infusion of 2 to 4 mg/min.PED 1 mg/kg followed by a drip at 20 to 50 mcg/kg/min