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Amiodarone drip and IV Metoprolol

Cardiac   (5,906 Views 12 Comments)
by blueorchid981 blueorchid981 (Member)

5,913 Visitors; 225 Posts

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Are these safe to give together? If HR has been sustaining in 140s all day, stable BP and doctor orders IV metoprolol to be given while on the amiodarone gtt, is it safe or could it send them into cardiac arrest?

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AgentBeast has 5 years experience as a BSN, RN and works as a Registered Nurse.

21,412 Visitors; 1,969 Posts

Yeah It's fine.

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NurseOnAMotorcycle has 10 years experience as a ASN, RN and works as a Emergency Nurse.

1 Article; 23,782 Visitors; 1,065 Posts

In a separate IV.

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2,389 Visitors; 93 Posts

Amio is for the arrhythmia, and if the patients heart rate is too high still while trying to convert the rhythm, iv lopressor will take the rate down. They can be used at the same time, two different therapeutic aims, two different drug classes.

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638 Visitors; 3 Posts

It's ok. As mentioned above, they are 2 different drug classes working in different ways. If the heart rate is in the 140's, think of how long the patient can sustain a heart rate that long.....they can for a while but its not ideal.

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RN617 has 2 years experience.

696 Visitors; 5 Posts

As long as their pressure is stable it should be fine.

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1,993 Visitors; 111 Posts

If pt. has hx of heart block it is usually not recommend...need to monitor cardiac rhythm and VS frequently especially if pt. not on a ICU unit

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404 Visitors; 1 Post

We have used them concurrently, however, the metoprolol must always be given very slowly and controlled. close observation of BP and HR are also essential.

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tcvnurse has 15 years experience and works as a TCV/ICU.

7,664 Visitors; 249 Posts

Agree w poster above who said yeah its fine. Also, if HR is 140 I would not be worrying about heart blocks, I'd be worried about filling the heart but thats just me.

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MoJoRNBSN has 4 years experience and works as a RN ICU/ED.

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Is the amio for afib with rvr or is it svt? If you convert with amio for sustained afib rvr in the 140s you should probably ask for pharmaceutical anticoags to give concurrently as the pt could throw a clot.

If svt, I've seen more cardizem gtts and treatment of underlying causes than I have amio drips.

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427 Visitors; 4 Posts

I am a med-surg nurse (6 pts). I was surprised, but we give iv push metoprolol. Do you think this is safe? I raised the question and expressed my concerns: Managers and charges nurses etc all say it is ok. I worry about it dropping the bp too low and I monitor the bp closely. (or as closely as I can w. this pt load!)

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AgentBeast has 5 years experience as a BSN, RN and works as a Registered Nurse.

21,412 Visitors; 1,969 Posts

IV Metop usually doesn't have that profound of an effect on BP. Especially in someone with a HR in the 140's all day.

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