Amiodarone is an effective antiarrhythmic class 3 drug commonly used in the ACLS and PALS protocols. It was first created in 1962 to treat heart related chest pain, and later removed from the market due to side effects in 1967. Adenosine Algorithm(s) Ventricular tachycardia with a pulse Dosing in ACLS First dose: 6 mg IV push followed by saline bolus Second dose: 12 mg IV push followed by saline bolus Adverse effects Headache, dizziness, metallic taste, dyspnea, hypotension, bradycardia or palpitations, nausea, flushing, sweating Contraindications Do not use in. Second dose: 12 mg Unstable tachycardia (i.e., an abnormally slow heart rate that causes altered mental status, hypotension, symptoms of shock, cardiac chest pain, or new signs and symptoms of heart failure) should be treated with synchronized cardioversion or adenosine. Initial dose: 1000 mg over the first 24 hours of therapy, delivered by the following infusion regimen: -Loading infusions: 150 mg over the first 10 minutes (15 mg/min), followed by 360 mg over the next 6 hours (1 mg/min) The first dose to be given is 150 mg. of Amiodarone over 10 minutes, which is 15mg/minute. And then start the drip at 360 mg to be given over 6 hours= 1mg/min., then 540 mg to be given over 18 hours=0.5 mg/min. In the ICU setting the patients are closely monitored while they are receiving Amiodarone. and 1 dose of amiodarone 300 mg IV so far. What would you order for his next medication? vtac poly What would you order for his next medication? vtac poly Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg amiodarone IV. The patient is intubated A second dose of amiodarone is now called for. The recommended second dose of amiodarone is what? The first dose of Amiodarone when being used to treat VT/V-Fib is 300 mg via IV/IO push. If needed, a second dose of 150 mg IV/IO push may be administered. When treating Tachycardia/VT, 150 mg IV/IO should be delivered over 10 minutes, with continuous infusions of 1 mg/min IV for 6 hours, and 0.5 mg/min IV for the next 18 hours. When using Amiodarone to treat Vfib or pulseless VTach cardiac arrest, the first dose is 300 mg IV/IO push. The second dose is delivered at 150mg IV/IO push. The second dose is delivered at 150mg. after the 3rd shock give 300 mg bolus of amiodarone if second dose is needed give 150mg as second dose.