Magnesium is contraindicated in VT associated with a normal QT interval | |
Magnesium is indicated for shock-refractory monomorphic VT | |
Magnesium is indicated for VF refractory to shock and amiodarone or lidocaine. | |
Magnesium is indicated for VF/pulseless VT associated with torsades de pointes |
Sodium bicarbonate 50 mEq | |
Repeat the antiarrhythmic | |
Escalating dose epinephrine 3 mg | |
Second dose of epinephrine 1 mg |
Perform immediate synchronized cardioversion | |
Give amiodarone 300 mg IV push | |
Obtain 12 lead ECG | |
Establish IV and give sedation for electrical cardioversion |