Code Cart Drugs

Front 1

Symptomatic Bradycardia

Back 1

If the patient is symptomatic (light headed, decreased BP, decreased U. O)
Give Atropine IV 0.5mg to 1.0 mg until a maximum of 3.0 mg have been given
Consider transcutaneous pacing
May need sedation
Dopamine infusion at 5-10 mcg/kg/min

Front 2

Pulseless Electrical Activity (PEA)

Back 2

Epinephrine 1mg IVP (Epinephrine may be repeated every 3-5 minutes)
Atropine 1 mg IV (may repeat in 3-5 minutes until a total of 0.04 mg/kg is given)
Treat cause (5 H’s and 5 T’s)

Front 3

Asystole

Back 3

Consider transcutaneous pacemaker – last resort
Epinephrine
Atropine

Front 4

Epinephrine

Back 4

IV dose: 1 mg (10cc of 1:10,000 solution administer every 3-5 minutes during resuscitation. Follow each dose with 20 cc of IV flush. May repeat often
Continuous infusion: Add 30 mg epinephrine (30cc of 1:1000 solution) to 250 cc of NS or D5W and run at 100 cc/hr to titrate to the desired effect. Infuse on an infusion pump
ET tube route: 2.0-2.5 mg diluted in 10 cc of NS.

Front 5

Atropine

Back 5

Asystole or PEA: 1mg IV push. May repeat in 3-5 minutes for a maximum dose of 0.03-0.04mg/kg
Bradycardia: 0.5-1.0mg IV every 3-5 minutes, not to exceed total dose of 0.04mg/kg (or about 3 mg)
ET tube administration: 2-3 mg diluted in 10 cc NS. Instilled into the ET followed by several quick ventilations

Front 6

Amiodarone

Back 6

In pulseless VTach/VFib- 300mg IV- May repeat at 150mg x 1 followed by drip as below
For VTach with pulse, other tachydysrhythmias:
Initially the patient will receive 150 mg IV over 10 minutes (dilute 150 mg in 100cc of solution).
Then using the concentration (900mg in 500cc solution) infuse 1 mg/min for 6 hours.
Followed by a continuous infusion 0.5 mg/min via an infusion pump

Front 7

Lidocaine

Back 7

Initial dose: 1.0-1.5 mg/kg IV. May repeat in 3-5 minutes at half the dose until a maximum dose of 3 mg/kg has been reached.
Infusion: 1-4 mg/min
ET administration: 2-4 mg/kg

Front 8

Dopamine

Back 8

Low doses-0.5-2 mcg/kg/min-produces a vasodilating effect on the renal, mesenteric and cerebral arteries. Urinary output increases while HR and BP stay the same
Doses of 2-10 mcg/kg/min-produces beta effects which increases cardiac output due to enhanced myocardial contractility
Higher doses-above 10-20 mcg/kg/min-produces alpha effects which cause vasoconstriction

Should not be added to solutions containing sodium bicarbonate since dopamine is inactivated in an alkaline pH

Front 9

Diltiazem (Cardiazem)

Back 9

Useful in PSVT, especially associated with atrial fibrillation or flutter
IV bolus (0.25mg/kg) followed by infusion (5-15mg/hr).

Front 10

Magnesium

Back 10

Refractory Ventricular Fibillation - reoccurring
Torsades de Pointes (type of Ventricular tachycardia)
Known deficiency
IV bolus followed by infusion titrated by magnesium levels

Front 11

Norepinephrine (Levophed)

Back 11

Vasopressor
Continuous infusion of 0.5 to 20mcg/min
Very potent, can cause loss of digits

Front 12

Calcium Chloride

Back 12

Underlying problem
Hypocalcemia
Hyperkalemia
Calcium channel blocker toxicity

Front 13

Morphine

Back 13

Ischemic chest pain
Pulmonary edema
Increases venous capitance