Amiodarone HCL (Cordarone®)

Adult Dose:

Ventricular fibrillation; pulseless ventricular tachycardia

• First Dose - 300 mg - standing order
• Second Dose - 150 mg - standing order
  

Stable or unstable, sustained ventricular tachycardia with pulse

• 150 mg - over 10 minutes - BIOTEL AUTHORIZATION ONLY

Ventricular fibrillation; pulseless ventricular tachycardia; stable, unstable, sustained, or non-sustained ventricular tachycardia with a pulse

• 5 mg/kg in 100 ml NS slow push over 30 minutes - BIOTEL AUTHORIZATION ONLY

• Alters movement of sodium, potassium and calcium through normal channels thereby
  
  • Increasing the refractory period of all cardiac tissues
    
  • Slowing repolarization
    
  • Decreasing automaticity
    
• Alpha and beta blocker

• Ventricular fibrillation or pulseless ventricular tachycardia that does not respond to initial defibrillation attempts
  
• Sustained ventricular tachycardia with a pulse

• Do not shake (prevents foaming); draw-up with large gauge needle
  
• Protect from light
  
• Avoid contact with plastic; administer at closest IV port
  
• Use with caution in renal failure patients

• Bradycardia
  
• Hypotension