Amiodarone

  1. What class of drugs is Amiodarone?
    Antidysrythmic
  2. What is the mechanism of action for Amiodarone?
    • 1) Prolongation of action potential
    • 2) Non-competative Alpha and Beta sympathetic blocking effects
    • 3) Calcium Channel blocking effects
  3. List the indications for use of Amiodarone
    • 1) Supression of VFib
    • 2) Supression of VTach
    • 3) Management of Ventricular ectopy (PVC's)
  4. What are the contraindications against using Amiodarone?
    • 1) 2nd & 3rd degree heart block
    • 2) Medication induced ventricular dysrythmias
    • 3) Hypotension
    • 4) Braycardia
    • 5) Torsades de pointes
    • 6) Profound sinus bradycardia
  5. List the possible adverse reactions in the use of Amiodarone
    • 1) Hypotension
    • 2) Bradycardia
    • 3) PEA (Pulselessness Electrical Activity)
    • 4) CHF (Congestive Heart failure)
    • 5) Nausea & fever
    • 6) Abnormal liver function tests
    • 7) Thrombocytopenia Disorder of having too few platlets)
  6. List any drug interactions with Amiodarone
    Amiodarone is incompatable with Sodium Bicarb
  7. List the dosages and Administration routes for Amiodarone
    • 1) VFib/ Pulselessness VTach: Initial dose 300mg slow IV push over 1-2 min in 10 cc of normal saline (NS)
    • 2) Ventricular Ectopy (PVC): initial dose 150 mg slow IV Push over 10 min. Repeat dose 150 mg slow IV Push over 10 min continue if needed to a total of 300 mg administared
    • 3) IV Infusion: 150 mg in 100 ml normal saline (NS) yeilds 1.5 mg/ml to be run at 0.5 - 1.5 mg per minute
Author
Tgendron
ID
77595
Card Set
Amiodarone
Description
PreHospital emergency medication information
Updated