Q:

Used in refractory ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT)

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Used in refractory ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT).


  1. Atropine.
  2. Adrenaline.
  3. Amiodarone.
  4. Lignocaine.
  5. Magnesium sulphate.
  6. Adenosine.
  7. Verapamil.
  8. Flecainide.

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c. The use of amiodarone in shock-refractory VF is believed to improve survival. Experts believe that in VF or pulseless VT resistant to three shocks there is a role for amiodarone. Initially 300mg intravenously should be given before continuing with shocks. The UK Resuscitation Council suggests that a further dose of 150mg may be given for recurrent or refractory VF/VT followed by an infusion of 900mg over the next 24 hours.

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