Amiodarone help!

Specialties CCU

Published

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?

Specializes in ICU, CVICU, E.R..
I'm an ACLS instructor and per guidelines the correct dose should be 150mg. One exception that is mentioned in the manual is to consult expert consultation. Expert consultation can override the standard ACLS procedure.

That's what I wanted to know because the OP never mentioned if it was a doctor who ordered the dose or the RRT nurse following ACLS protocols

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