Question

A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting crushing chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to VFib. Despite the drug provided above and continued CPR, the pt remains in VFib. Which other drug should be administered NEXT?

A)Lido 1 to 1.5mg/kg
B)Lido 1 to 2.5mg/kg
C)Lido 1 to 3.5mg/kg
D)Lido 1 to 4.5mg/kg

Answer 1

In this situation, the appropriate choice is to administer an antiarrhythmic drug, such as lidocaine. From the options given, the appropriate dose for lidocaine in managing ventricular fibrillation is 1 to 1.5 mg/kg body weight. Therefore, the answer is:

A) Lido 1 to 1.5mg/kg

Step-by-step explanation:

In this situation, the appropriate choice is to administer an antiarrhythmic drug, such as lidocaine. From the options given, the appropriate dose for lidocaine in managing ventricular fibrillation is 1 to 1.5 mg/kg body weight. In this situation, the patient is experiencing ventricular fibrillation (VFib) despite initial treatment. The next drug that should be administered is Lidocaine (Lido). The correct dose of Lidocaine to be administered is 1 to 1.5mg/kg.