Which medication is considered an anti-arrhythmic option after the second defibrillation attempt in adult VF/pVT?
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Correct answer: Amiodarone or lidocaine
After the second shock in refractory VF/pVT, an anti-arrhythmic is indicated: amiodarone (300 mg) first-line, with lidocaine as an alternative. Atropine, adenosine, and phenylephrine have no role in this setting.
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