If drug therapy fails
electrophysiological study (EPS)
implant able cardioverter-defibrillator (ICD) - this is particularly indicated
in patients with significantly impaired LV function
Question 157
What is the most appropriate dose of adrenaline to give during a cardiac arrest?
A. 1ml 1:100,000 IV
B. 10ml 1:1,000 IV
C. 0.5ml 1:1,000 IM
D. 1ml 1:10,000 IV
E. 10ml 1:10,000 IV
Recommend Adult Life Support (ALS) adrenaline doses
anaphylaxis: 0.5ml 1:1,000 IM
cardiac arrest: 10ml 1:10,000 IV or 1ml of 1:1000 IV
10ml of the 1:10,000 preparation contains 1mg of adrenaline
Adrenaline
Adrenaline is a sympathomimetic amine with both alpha and beta adrenergic
stimulating properties
Indications
anaphylaxis
cardiac arrest
Recommend Adult Life Support (ALS) adrenaline doses
anaphylaxis: 0.5ml 1:1,000 IM
cardiac arrest: 10ml 1:10,000 IV or 1ml of 1:1000 IV
Management of accidental injection
local infiltration of phentolamine