Amiodarone/(Cordarone

Card Set Information

Author:
Rodonnell
ID:
75321
Filename:
Amiodarone/(Cordarone
Updated:
2011-03-26 15:14:06
Tags:
Amiodarone Cordarone
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Description:
Paramedic drugs
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  1. Class:
    Antidysrhythmic agent (group III)
  2. Description:
    First and Second antidysrhythmic used to treat ventricular dysrhythmias
  3. Mechanism of Action
    • Prolongs action potential and refractory period
    • Slows sinus rate; increase PR and QT intervals
    • Decrease peripheral vascular resistance
    • Potassium Channel Blocker
  4. Onset of Action:
    • Immediate (IV + IO)
    • Duration Varies
    • Half-Life: 48 Days (IV/IO Dosing)
  5. Indications:
    • V-Fib + Pulseless V-tach 300 mg IVP Then after 5 mins give 150 mg
    • V-Tach with Pulse 150 mg every 10 mins
    • A-Fib, A-Flutter, SVT’S
  6. Contraindications:
    • Serve sinus node dysfunction
    • Sinus bradycardia
    • Second and third degree atrioventricular block Hemodynamically significant bradycardia
  7. Precautions
    Heat failure
  8. Side Effects
    Anorexia,hypotention,malaise/fatigue,nausea, Pulmonary toxicity,Tremors Ventricular ectopic beats
  9. Side Effects
    Hypotension, Nausea, Anorexia, Malaise/fatigue, Tremors, Pulmonary toxicity, Ventricular ectopic beats
  10. Adult Dose:
    • Loading Dose: 150mg over 10 minutes (15 mg/min)
    • Maintenance Dose: 1 mg/min over 6 hours then .5 mg/min until dysrhythmia is controlled or oral therapy begins
    • V-Fib- Pulseless V-Tach 300mg IVP then after 5 min give 150 mg
  11. Pedi-Dose
    5mg/kg IV or IO
  12. Max Dose:
    • ADULT: 450 mg IV Bolus and/or 2.2g in 24 hours
    • PEDI: 15mg/kg
  13. Routes of Administration
    IV or IO
  14. How Supplied:
    • 150 mg Vials
    • 300 MG Brista-jets

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