* Adrenergic blocker and Antiarrhythmic; * For Acute Treatment of Resistant
VF or
VT (
LIDOCAINE, Defibrillation,
PROCAINAMIDE Failure) * Dose: 5-10 mg/kg IV rapid injection (1 minute); * may repeat w/ 10mg/kg IV push repeated q15-30 min w/ 10mg/kg * (max = 30 mg/kg) - given undiluted w/ life threatening arrhythmia, but w/ hemodynamically unstable pts dilute w/ 50ml D5W and infuse slowly IV over 8-10 min to reduce acute hypotensive effects; * Maintenance: 1-4 mg/min IV infusion; * Supplied: Injection 50mg/mL;
- Caution: * Should rpaidly reduce dose and discontinue in 3-5 days; * Note: N/V associatted withrapid IV push; * transient rise in BP seen initially; * Hypotension most frequent adverse effect and occurs with in the first hour of treatment;