Question

A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, 1mg of epinephrine twice, and an initial 300mg of amiodarone intravenously. The patient is intubated. What is the next step in management?

1) Administer lidocaine
2) Administer magnesium sulfate
3) Administer atropine
4) Administer a second dose of amiodarone

Answer 1

The next step in management for a patient in refractory ventricular fibrillation would be to administer a second dose of amiodarone.

Step-by-step explanation:

The next step in management for a patient in refractory ventricular fibrillation after receiving multiple appropriate defibrillation shocks, 1mg of epinephrine twice, and an initial 300mg of amiodarone intravenously, would be to administer a second dose of amiodarone.