Contraindicated with hypersensitivity to amiodarone, Nursing considerations.
Second infusion during first 24 h (slow loading dose and maintenance infusion): Add 900 mg (18 mL) amiodarone to 500 mL D5W to yield 1.8 mg/mL. Drug Name. Totally unrelated to other antiarrhythmics.
This results in a slowing of the electrical conduction and lengthening of the refractory period.A certified nurse in critical care may administer this drug by Medical Directive. Amiodarone is a Class III antiarrhythmic that lengthens the action potential and blocks myocardial potassium channels. Manage your drugs with real-world data: When amiodarone is indicated for other circumstances, a medical order is required. Check out some of the drug information from Medscape: Documentation provides evidence of clinical decision making and activation of protocol driven practice.This skill delegates to the nurse the ability to make independent decisions and to implement actions according to protocol guidelines under medical directive.Visiting the Hospital: LHSC’s Coronavirus Updates website with the latest information for patients and visitors including our visitor policy.AMIODARONE ADMINISTRATION BY MEDICAL DIRECTIVE IN CCTCEvaluating virtual symptom tracking for COVID-19 positive patients, new studyHelping patients collect blood at home during COVID-19 Class III antiarrhythmic; also has antianginal and antiadrenergic properties. If the use of IV amiodarone in pediatric patients is medically warranted, in order to reduce the potential exposure of these patients to plasticizers, alternative methods of dosing and administration (e.g., bolus IV dosing in 1mg/kg aliquots) may be considered. Administer IV direct.. A CCTC nurse may administer a second dose of 150 mg by Medical Directive if no effect in 5 minutes. Assess heart rate, ECG, and heart sounds, especially during exercise (see Watch for signs of congestive heart failure, including dyspnea, rales/crackles, peripheral edema, jugular venous distention, and exercise intolerance.
It seems that most commonly patients are given a 300 mg bolus of amiodarone initially and then given a continuous drip.
Most of the time it works rather quickly and is our drug of choice when it comes to certain types of heart arrhythmias (meaning abnormal heart rhythms).Amiodarone is classified as an antiarrhythmic drug, meaning that it is used on patients who have heart arrhythmias especially atrial flutter, atrial fibrillation, and tachyarrhythmias.The most common arrhythmia that we use this medication on in the ICU is atrial fibrillation. 2.2 This guidance is for dose calculation and administration only. The half life is about 45 days and the side effects are numerous. Amiodarone (Cordarone, Pacerone) Considerations for Use* US/FDA Approved Indications: Heart Rate Control and Heart Rhythm Control for Atrial Fibrillation Black Box Warning* May cause potentially fatal toxicities, including pulmonary toxicity, hepatic injury, and worsened arrhythmia.
If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. Amiodarone is a potent antiarrhythmic agent that is used to treat ventricular arrhythmias and atrial fibrillation. Notify physician or nursing staff immediately of any pulmonary dysfunction. Monitor heart rate and rhythm throughout therapy; PR prolonga-tion,slightQRSwidening,T-waveamplitudereductionwithT-wavewid-eningandbifurcation,andUwavesmayoccur.QTprolongationmaybe associated with worsening of arrhythmias and should be monitored closely during IV therapy.
Amiodarone Hydrochloride Hypersensitivity to amiodarone, or PO Maintenance Dose 400-600 mg/d in 1-2 doses IV Loading Dose 150 mg over 10 min followed by Nursing Implications.amiodarone hydrochloride - RNpedia » amiodarone hydrochloride.amiodarone hydrochloride. Make sure to administer amioidarone according to your provider's prescription.