Paramedic Cardiac Drugs Scenarios

congestive heart failure (CHF)

Dopamine 2-10mcg/kg/min; Nitro 0.4mg SL q5m

Pulseless VFib

Epi 1mg 1:10,000
Amioderone 300mg
Lidocaine 1-1.5mg/kg
Mag Sulfate 1-2g

Rapid Afib/Aflutter

Cardizem 15-20mg

acute coronary syndrome (ACS)

Metoprolol 5mg

Asystole

Epi 1mg 1:10,000

Rapid Afib w/RVR (WPW)

Procainamide 20-50mg/min

Superventricular Tachycardia (SVT)

Adenosine 6mg/12mg

Polymorphic VTach (Torsades de pointe)

Magnesium Sulfate 1-2g over 10m

Cardiogenic Shock

Levophed 2.5-16mcg/min
Dopamine 10-20 mcg/kg/min

Hypertensive Emergency

Labetelol 20mg

Bradycardia

Atropine 0.5mg
Epi 2-20mcg/min
Dopamine 2-10mcg/kg/min

Tachy, Narrow QRS

Adenosine 6mg/12mg
Choose One Beta Blocker
Metaproplol 5mg
Labetelol 20mg (for HTN)

Tachy, Wide QRS

Procainamide 20-50mg/min
Amioderone 150mg over 10 min

PEA

Epi 1mg 1:10,000

Synchronized Cardioversion

Versed 1-5mg
Adenosine 6mg/12mg (if unconverted)

ROSC

Saline 1-2L
Epi 0.1-0.5 mcg/kg/min
Dopamine 5-10 mcg/kg/min
Levophed 0.1-0.5 mcg/kg/min