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Actions
Both alpha and beta blocking properties; relaxes vascular smooth muscle; decreases perphrial vascular resistance; increases coronary blood flow; blocks effects of sympathetic stimulation
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Indications
Used to treat life threating ventricular and superventricular dysrhythmias, including pulseless VT/VF and Stable and/or unstable wide complex tachycardias,
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Contraindications
Do not use in patients in cardiogenic shock, severe bradycardia or second or third degree block, patients with hypotension
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Side effects
Decreased B/P and Heart Rate, AV Block, Muscle weakness, tingling, fatigue, and dizziness
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Dosage and Administration
- Cardiac arrest: 300mg IVP may repeat once in 5 minutes at 150 mg IVP for recurrent or refactory VF/VT.
- Wide comlpex tachycardia wuth a pulse: 150mg IV over 10 minutes (Maximum three 150mg doses.)
- pediatric dose :5mg/kg IV
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