Amiodarone

Question 1

Adult dosage for A-Fib

Answer 1

150 mg IV/IO in 50 ml D5W/NS over 10 minutes

May repeat 10 minutes after last drip was completed (3 times)

Question 2

Adult dose VT with pulse (stable) and SVT

Answer 2

150 mg IV/IO in 50 ml D5W/NS over 10 minutes.

May repeat every 10 minutes PRN

Question 3

VT with pulse (unstable)

Answer 3

1st dose 150 mg IVP/IOP under 2 minutes

2nd dose 150 mg IV/IO in 50 ml D5W/NS over 10 minutes

Question 4

VF and pulseless VT

Answer 4

300 mg IV/I/O push

Question 5

How to mix

Answer 5

150 mg of medication in 50 ml IV bag of D5W/NS. Use a 10 drop set (macro) give 50 drops/min to achieve 150 mg over 10 minutes

Question 6

Indications

Answer 6

Indicated for initiation of treatment and prophylactics of frequent reoccurring V Fib, A Fib, and hemodynamically unstable V Tach in patient refractory to other therapy.

May also be used to treat SVT

Question 7

Contraindications

Answer 7

In patients with cardiogenic shock, marked sinus bradycardia, and second or 3rd degree AV block.

Patients with iodine hypersensitivity

Patients with known hypersensitivity to Amiodarone

Question 8

Warnings

Answer 8

May worsen existing or precipitate new dysrhythmias including torsades de pointes and VF.

Used with beta blocking agents could increase risk of hypotension and bradycardia.

Increases risk of AV block with Cardizem or of hypotension with any calcium channel blocker.

Used with caution with pregnancy and nursing mothers

Question 9

Side effects

Answer 9

Fever, bradycardia, CHF, cardiac arrest, hypotension, V tach, nausea, and abnormal liver function