Give epinephrine 1.0 mg IV | |
Order immediate endotracheal intubation | |
Initiate transcutaneous pacing | |
Give atropine 1 mg IV | |
Give atropine 0.5 mg IV |
perform elective synchronized cardioversion with presedation | |
continue monitoring and seek expert consultation | |
perform emergency synchronized cardioversion | |
administer lidocaine 1 mg/kg IV | |
administer nitroglycerine 0.4 mg sublinqual or spray |
perform vagal maneuvers | |
give adenosine 12 mg IV slow push (over 1-2 mins) | |
give adenosine 3 mg IV fast | |
give metoprolol 5 mg IV and repeat if necessary |