This is a powerful drug for the control of atrial and ventricular arrhythmias.
The dosage regime is as follows (via a central line):-
300 mgs in 100mls 5 % Dextrose over 1 hour
then 900 mgs in 250 mls 5% Dextrose over 23 hours
The initial oral dose is then 200 mgs tds for 1 week reduced thereafter to bd followed by maintenance od.
( Note. Some has a preference not to use this agent first line and prefers Digoxin)
A DC shock applied to the chest is an effective way of restoring sinus rhythm, particularly supraventricular tachycardia. This is usually carried out by the Cardiologist.
3. Ventricular Arrhythmias
VF\VT - See cardiac arrest