Epinephrine (adrenaline): It is used at the most valuable, potentially lifesaving therapeutic agents for cardiac arrest victims, It’s considered to be the pharmaceutical equivalent of adrenaline., Epinephrine has an onset of action of 1-2 mins and lasts 2-10 mins., Some other uses include first-line treatment for cardiorespiratory arrest, May also be used in cases of anaphylactic reaction and acute bronchospasm, The use of epinephrine may allow for Return Of Spontaneous Circulation (ROSC)., Vasopressin (potent vasoconstrictive and water retention effects: Pharmaceutical equivalent to endogenous ADH, It has shown to increase (increase or decrease) blood flow to vital organs, It has shown to and improve oxygen delivery to the cerebral area, It has shown significant improvement in survival as compared to those who only received epinephrine, It has shown to Administered to patients in cardiac arrest IV push at 40 units every 20 min. with 3 minute onset of action, Dopamine: for heart failure, MI, etc.: equivalent to endogenous dopamine- allows for vasodilation= increase in BP, helps with CHF and different heart related issues, Low doses primarily stimulate the dopamine receptors in the: renal arteries, Low doses primarily stimulate the dopamine receptors in the: coronary arteries, Low doses primarily stimulate the dopamine receptors in the: intracerebral arteries, Low doses primarily stimulate the dopamine receptors in the: mesenteric arteries, Atropine: treats bradycardia during cardiac arrest, Can be used in situations when the heartbeat falls to 40 bpm or less, What are the accepted routes of administration in patients experiencing cardiac arrest Intravascular (IV) and endotracheal (ET), Lidocaine: It will pharmacologically block sodium channels (helps decrease BP), Onset of action is 30-90 seconds with IV and 10 min with IM., Indicated for use with ventricular dysrhythmias in MI and cardiac arrest., with mild toxicity, it may cause: drowsiness, confusion, nausea, dizziness, gait disturbances (ataxia), ringing in the ears (tinnitus), numbness (paresthesia), muscle twitching (fasciculation) , Amiodarone: it is an antidysrhythmic that initially is given IV, but later if a patient stabilizes, it may be given orally., Recommended for: pulseless ventricular tachycardia, shock-resistant ventricular fibrillation, polymorphic ventricular tachycardia, wide- complex tachycardia, rate control in atrial fibrillation or flutter , Sodium Bicarbonate : it is a strong alkalizing agent (base), Dosage and administration: It is usually administered via rapid IV infusion push during Cardiac Arrest., A combination of Sodium Bicarbonate along with artificial respiration can be used to combat severe acidosis and cardiorespiratory arrest., Neuromuscular Blockers : also called paralyzing agents, It is required in order to relax all muscles so that the patient can be rapidly intubated, generally used in conjunction with a sedative, intubate the patient if they are not breathing on their own within 8 minutes of beginning CPR and ACLS.,

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