Antiarrhythmics

Question 1

All Antiarrhythmics

Answer 1

• Amiodarone
• Diltiazem
• Esmolol
• Lidocaine

Question 2

Amiodarone (start, titrate, max dose)

Answer 2

Start @ 150 mg/100 mL D5W over 10 min
Titrate 1 mg/min (33 mL/hr) x 6 hr, then 0.5 mg/hr every 15 min
Max dose 2.2 Gms in 24hr

Question 3

Dilltiazem (start, titrate, max dose)

Answer 3

Start @ 5 mg/hr (physician order to bolus 0.25 mg/kg over 2 min
Titrate 5mg/hr every 15 min
Max dose 20 mg/hr

Question 4

Esmolol (start, titrate, max dose)

Answer 4

Start @ 50 mcg/kg/min
Titrate 25 mcg/kg/min every 5 min
Max dose 300 mcg/kg/min

Question 5

Lidocaine (start, titrate, max dose)

Answer 5

Start @ 2 mg/min (Physician order bolus1-1.5 mg.kg IVP)
Titrate 1 mg/min every 60 min
Maximum dose 4 mg/min