Quote from Brama28
New nurse here looking for help. Has anyone pushed amiodarone 300mg for a patient in VTACH with a pulse. Pt was unresponsive and post cardiopulmonary arrest. HR was over 130 and BP was 180's/90's (i know hypotension is an issue) No medications administered prior to this order. Only a shock at 200j per EMS prior to arrival. I have given amiodarone bolus of 150mg over 10 minutes then 1mg/min after that. I have pushed amiodarone 300mg for a pulseless patient. I work in a small hospital with no interventional cardiology services. Just wondering if its a standard I'm missing. If so, can someone recommend a resource or reference?
Was it Polymorphic VT or Monomorphic VT? If it is stable Monomorphic VT,I would go ahead with Amio 150mg IV push and start infusion at 1mg x 6hr then 0.5mg x 16 as recommended by ACLS. IMHO I would consider Magnesium Sulphate for Polymorphic VT because most polymorphic VT occurring in the context of a prolonged resting QT interval or hypomagnesemia. One of the adverse reactions of amio is prolonged QT interval so It wouldn't be my drug of choice for Polymorphic VT like in torsades. This is only my humble opinion and I could be wrong.