Amiodarone

Question 1

Amiodarone:
Classification -
1. ___

Answer 1

Classification -

1. Antiarrhythmic

Question 2

Amiodarone:
Action -
1. ___

Answer 2

Action -

1. Rate control in a variety of atrial and ventricular tachyarrhythmia

Question 3

Amiodarone:
Onset of Action -
1. ___

Answer 3

Onset of Action -

1. Immediate

Question 4

Amiodarone:
Duration of Action -
1. ___

Answer 4

Duration of Action -

1. Up to 40 days

Question 5

Amiodarone:
Indication -
1. \_\_\_
2. \_\_\_
3. \_\_\_
4. \_\_\_
5. \_\_\_

Answer 5

Indication -

1. Shock Refractory VF/pulseless VT.
2. Polymorphic VT/wide complex tachycardia of uncertain origin.
3. Control of hemodynamically unstable VT when cardioversion is unsuccessful.
4. Acceptable for termination of ectopic or multifocal atrial tachycardia with preserved LV function.
5. Used for rate control in treatment of atrial fibrillation or flutter when other therapies are ineffective.

Question 6

Amiodarone:
Contraindication -
1. ___
2. (List of 4)

Answer 6

Contraindication -

1. Patients with a hypersensitivity to amiodarone (Cordarone).
2. Patients with cardiogenic shock, marked sinus bradycardia, second- or third-degree AV block unless a pacemaker is available.

Question 7

Amiodarone:
Use with Caution -
1. \_\_\_
2. \_\_\_
3. \_\_\_

Answer 7

Use with Caution -

1. May produce vasodilation and hypotension.
2. May have negative inotropic effects and prolong QT interval.
3. Renal failure, terminal elimination is long (half-life lasts up to 40 days).

Question 8

Amiodarone:
Dosage and Administration -
1. Cardia Arrest:
a. Adult: ___

Answer 8

Dosage and Administration -
1. Cardiac Arrest:
a. Adult: First dose: 300 mg IV/IO push. Second
dose if needed after 3-5 minutes: 150 mg IV/IO
push.

Question 9

Amiodarone:
Adverse Reaction -
1. (List of 3)

Answer 9

Adverse Reaction -

1. Vasodilation, Hypotension, Bradycardia.

Question 10

Amiodarone:
Dosage and Administration -
1. Cardiac Arrest:
a. Pediatric:

Answer 10

Dosage and Administration -
1. Cardiac Arrest.
a. Pediatric: 5 mg/kg IV/IO push, up to a maximum
of 300 mg; may repeat to total daily dose of 15
mg/kg.

Question 11

Amiodarone:
Dosage and Administration -
1. Wide complex tachycardia:
     a. \_\_\_
     b. \_\_\_
     c. \_\_\_

Answer 11

Dosage and Administration -
1. Wide complex tachycardia:
a. Mix 150 mg in 100 mL D5W and infuse IV/IO over
10 minutes (15 mg per minute).
b. May repeat every 10 minutes as needed.
c. Consult Base Station if arrhythmia persists
beyond second dose.