Vasopressin
   
General Principles: Indications Precautions  

Adrenergic-like drug that can be used as the first catecholamine for persistent or recurrent VF. Also recommended for shock states, in particular for drug-induced (usually in context of an overdose) refractory hypotension and shock.

May be used as an alternative pressor to epinephrine in the treatment of adult shock-refractory VF (Class lIb). Potent peripheral vasoconstrictor. Increased peripheral vascular resistance may provoke cardiac ischemia and angina.  
 
Not recommended for responsive patients with coronary artery disease.  
 

Cardiac Arrest

IV, IO, and ET Doses for Cardiac Arrest: 40 U IV push x 1