Interesting things about amiodorone

jnette, ASN, EMT-I · Jul 30, 2003

Good idea for a thread ! I like this...good way to learn and refresh.

Keep it coming. :)

purplemania, BSN, RN · Jul 30, 2003

Gave Demerol/Phenergan IV once to adolescent female who then had psychotic episode lasting only a few minutes. Had been on Demerol PCA day before, so I blamed it on the Phenergan. Nurses in post-partum (where young females are pt) say this occurs with Phenergan rarely, but nurse needs to observe pt for safety reasons after IV push.

dprayvd · Jul 30, 2003

aaaaa

dprayvd · Jul 30, 2003

aaaaa.

Noney · Jul 30, 2003

Interesting about the phenergan.

I took an order for quininine once but wrote it for quindine. thought it was the same med. Scary huh?

Maybe someone else can learn from my mistake.

ERNurse752, RN · Jul 30, 2003

Going back to Amiodarone for a second...

Had a guy in the ER once who had been on it, and had exposure to a lot of sunlight while on it. Turned the skin on his face blue - permanently.

So he looks cyanotic...freaks people out if they haven't seen him before.

VickyRN, MSN, DNP, RN · Jul 30, 2003

I've heard about the blue skin and blue nose side effect from amiodarone. Can also cause pulmonary fibrosis, so patients SHOULD have a lung function test before going on it. Can cause bradycardia and hypotension. As you are well aware, amiodarone is now part of ACLS, having replaced lidocaine. In cardiac/ACLS circles, it's treated as if it's a new wonder drug (will treat both a-fib and v-tach), but it's been around for a long time and can have very serious side effects, much worse than lidocaine or cardizem.

VickyRN, MSN, DNP, RN · Jul 30, 2003

Anybody want to mention Ambien and little old ladies :eek:

live4today, RN · Jul 30, 2003

Originally posted by VickyRN
Anybody want to mention Ambien and little old ladies

I could use an Ambien sometimes myself. :chuckle My husband was on it for a time when he was in a lot of backpain before his back surgery. He said he had the best sleep ever! :cool: He did say it knocked him out QUICK which he didn't like being put to sleep that fast from a pill.

The "little old ladies" I take care of at work who are on Ambien (and what patient isn't these days:rolleyes: )...anyway, they always ask for their "Ambien to help them sleep". :)

renerian, BSN, RN · Jul 30, 2003

I had a client who developed heparin antibodies from heparin. She died.

renerian

Noney · Jul 30, 2003

This is great. I never heard of the bluish skin from amiodarone.

Renerian, tell me more about the heparin antibdies.

I 'v seen aricept set older females off at night.