Amiodarone
ADULT:
Unstable VT / Wide Complex Tachycardia (that persists post cardioversion)
150 mg slow IV / IO over 1 min
May repeat after 3 min
150 mg IVP (300 mg max)
VF or Pulseless VT / Wide Complex Tachycardia
300 mg IV / IO
May Repeat after 3 min
150 mg IVP/IO (450 mg max)
PEDS:
Unstable VT / Wide Complex Tachycardia (that persists post cardioversion)
5 mg/kg IV
(150 mg max single dose)
Slowly over 10 min. BHO
VF or Pulseless VT / Wide Complex Tachycardia
5 mg/kg IV / IO
(150 mg max single dose),
May repeat 5 mg/kg IV/IO, in 5 min and 10 min (450 mg Max)
INDICATIONS:
* V Fib and VT / Wide Complex Tachycardia without a pulse
* Unstable VT / Wide Complex Tachycardia with a pulse
CONTRAINDICATIONS:
- Contraindication in 2nd and 3rd degree heart block, bradycardia.
PRECAUTIONS / COMMENTS:
- Rapid IV use may cause hypotension, bradycardia, and heart block.
- If AICD discharges 2 or > firings or unstable (loss of consciousness, poor VS, or recurrent ventricular arrhythmia) after AICD discharge, Base Hospital Contact for possible CVRC destination or possible medication administration.
