2015 Trumbull Memorial Hospital Demo

Amiodarone (Cordarone)

Amiodarone (Cordarone ® )

Action

Onset

Antiarrhythmic Potassium/Sodium/Calcium Channel Blocker

1-5 minutes Peak effect 30 minutes

Indications Pulseless VT/VF Ventricular Tachycardia

Adult Dose 300mg Initial Cardiac Arrest Dose 150mg Second Cardiac Arrest Dose

Pediatric Dose 5mg/kg, not to exceed adult dose in Cardiac Arrest Repeat at 5mg/kg up to 2 times. Max dose 15 mg/kg in Cardiac Arrest

Contraindications Hypersensitivity to amiodarone or iodine, cardiogenic shock, heart blocks, sinus node dysfunction, bradycardia

Adverse Reactions Cardiovascular: Bradycardia, hypotension, heart block, prolonged QT interval, congestive heart failure Central Nervous System: Visual disturbances, photosensitivity, abnormal smell sensation, paresthesia, abnormal gait, involuntary movement, hallucinations, parkinsonian symptoms, dizziness, malaise, tremors Gastrointestinal: Nausea, vomiting Integumentary: Rash Oral: Dry mouth Respiratory: Pulmonary inflammation, edema, shortness of breath, pleural effusion

Precautions Use with caution in renal impaired patients, or patients taking medications to control blood pressure. Amiodarone may interact with most opioid pain medications.

Considerations Pregnancy category D.

194

EMR

EMT

AEMT

Paramedic

Extended