AMIODARONE (CORDARONE) Flashcards
CLASS
CLASS III ANTIDYSRHYTHMIC
ACTIONS (2)
NONCOMPETITIVE ALPHA / BETA ADRENERGIC BLOCKING PROPERTIES
PROLONGS DURATION OF ACTION POTENTIAL AND EFFECTIVE REFRACTORY PERIOD WHICH SLOWS CONDUCTION
INDICATIONS (4)
VF OR VT CARDIAC ARREST
CONTROL OF HEMODYNAMICALLY STABLE VT, POLYMORPHIC VT, AND WIDE COMPLEX TACHYCARDIA OF UNCERTAIN ORIGIN
REFRACTORY PSVTs, ATRIAL TACHYCARDIA, AND PHARMACOLOGICAL CARDIOVERSION OF AF
CONTROL RAPID VENTRICULAR RATE DUE TO ACCESSORY PATHWAY CONDUCTION IN PREEXCITED ATRIAL ARRHYTHMIAS
DOSAGES / ROUTES (4)
VF / VT CARDIAC ARREST: 300 MG IV FOLLOWED BY 10 CC NS FLUSH
FOR PATIENTS NOT IN CARDIAC ARREST: 150 MG IV OVER 10 MINUTES FOLLOWED BY INFUSION OF 1 MG / MIN OVER 6 HOURS.
ONSET: WITHIN MINUTES
DURATION: VARIABLE
STANDARD PREP
150 MG IN 3 CC AMPULE
CONTRAINDICATIONS (4)
HYPERSENSITIVITY
CARDIOGENIC SHOCK
HYPOTENSION
PULMONARY CONGESTION
SIDE EFFECTS
HYPOTENSION
BRADYCARDIA
HEPATOTOXICITY
CHF, PULMONARY FIBROSIS
MISC: FLUSHING, ABNORMAL SALIVATIONS
PRECAUTIONS
DO NOT SHAKE VIAL BECAUSE IT WILL FOAM
MONITOR INFUSION RATE CAREFULLY
MONITOR VS, EKG, LUNG SOUNDS, AND MENTAL STATUS.