Home
Flashcards
Preview
teex bretylium
Home
Get App
Take Quiz
Create
Bretylium Class
Antiarrhythmic
Bretylium Actions
1. Increases ventricular fibrillation threshold
2. Blocks release of norepinephrine from peripheral sympathetic nerves
3. May convert VF to effective rhythm without defib
: Nickname: chemical Defib
Bretylium Indications
1. Ventricular fibrilation refractory to lidocaine
2. Ventricular tachycardia refractory to lidocaine
3. PVC's refractory to first-line medication
4. wide complex tachycardia refractory to lidocaine and procainamide
Bretylium Contraindications
None when used in management of life threatening arrhythmias
Bretylium Precautions
1. Patient's taking antihypertensive meds
2 May interact with sympathomimetics to potentiates their pressor effects
3.DO NOT use on symptomatic patients in VT. Proceed directly to cardioversion
Bretylium Side Effects
1. Hypotension, syncope, bradycardia
2. Increased frequency of arrhythmias
3. Dizziness and vertigo
4. Nausea and violent vomitting
Bretylium Dosage: (adult)
1. VF/VT
: 5mg/kg initial bolus followed by 10mg / kg every 15 minutes to a total of 30 mg/kg
2. Refractory VT with pulse
: 500mg in 50mL and infuse 10mg/kg over 8 to 10 minutes
3. Drip
: 500mg in 250 mL and infuse at 1-2 mg/min
Bretylium Route
Rapid IV Push
Bretylium How Supplied
ampule: 500mg / 10mL
Bretylium Pediatric Dosage
Safety not established.
Author
ccs1471
ID
22920
Card Set
teex bretylium
Description
TEEX Medic Bretylium
Updated
2010-06-10T03:21:23Z
Show Answers
Home
Flashcards
Preview