Class III: AMIODARONE, dronedarone, sotalol, ibutilide, dofetilide Drug of 2nd choice (vs amiodarone) to terminate VTach and prevent VFib after DC
Pediatric Dosage of Amiodarone. When using amiodarone to treat VFib or pulseless V-tach, a first dose will be 5mg/kg via IV or IO push. This dose may be repeated 1-2 times for refractory VFib or pulseless V-tach. For life threatening arrhythmias, a maximum accumulated dose is 2.2 grams via IV or IO over a 24-hour period.
Question: What is the recommended dose of amiodarone for patient in cardiac arrest with Vfib/VT that is unresponsive to defibrillation?
Pediatric Dosage of Amiodarone. When using amiodarone to treat VFib or pulseless V-tach, a first dose will be 5mg/kg via IV or IO push. This dose
Pulseless VT or Vfib can get amiodarone 300mg bolus, second dose can be 150mg. blood pressure, no severe chest pain: treat medically; Unstable = agonal
If pulseless VT or Vfib go ahead then defibrillate (unsynched) and continue defibrillating during pulse/rhythm checks. Pulseless VT or Vfib can get amiodarone
Amiodarone IV/IO. Indication: Pulseless VT/Vfib, stable ventricular Midazolam: 0.05–0.1 mg/kg/dose (5 mg per dose) IV/IM, or 0.25–1 mg/kg/dose
When using amiodarone to treat VFib first dose will be 5mg/kg via IV or IO push. This dose may be repeated 1-2 times for refractory VFib or pulseless V-tach.
The recommended FIRST IV dose of amiodarone for a patient with refractory VFib (Ventricular Fibrillation) is 300 mg. This initial dose can be followed by one repeat dose of 150 mg if necessary. Amiodarone is used in emergency settings for life-threatening arrhythmias such as VFib, which does not respond to standard defibrillation techniques.
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