V Fib Treatment Acls Amiodarone

300 mg bolus iv.

V fib treatment acls amiodarone. If the arrhythmia persists or returns you may give one additional bolus of 150mg iv io push 3 5 minutes after the initial dose. Amiodarone is an antiarrhythmic agent used in acls to treat vf or pulseless vt that does not respond to treatment with defibrillation cpr or vasopressors epinephrine. Amiodarone is the primary medication that is used for refractory ventricular fibrillation. Algorithm s ventricular fibrillation vf pulseless ventricular tachycardia pvt ventricular tachycardia with a pulse.

The first dose of amiodarone when being used to treat vt v fib is 300 mg via iv io push. 150 mg bolus iv. 2 2 grams over 24 hours. 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.

The mechanism of action for amiodarone s antiarrhythmic properties remains unclear but it continues to be the primary antiarrhythmic medication for the treatment of ventricular fibrillation and ventricular tachycardia within the. The lower second dose is due to the long half life of amiodarone and the risk for toxicity if rosc occurs. Acls cardiac arrest vtach and vfib algorithm perform the initial assessment perform high quality cpr establish an airway and provide oxygen to keep oxygen saturation 94 monitor the victim s heart rhythm and blood pressure if the patient is in vtach or vfib this is a shockable rhythm apply defibrillator pads or paddles and shock the. If needed a second dose of 150 mg iv io push may be administered.

Give amiodarone 300mg iv io push. Treatment modalities per acls v fib or v tach w o pulses are the only shock able rhythms. Within acls amiodarone is used for its antiarrhythmic properties and is effective for the treatment of supraventricular arrhythmias and ventricular arrhythmias. For ventricular fibrillation and ventricular tachycardia without a pulse.

It is recommended to only use amiodarone for life threatening arrythmias because of its association with toxicity and complex possible drug interactions. In the advanced cardiac life support acls guidelines published in 2000 amiodarone and procainamide are recommended for the initial treatment of hemodynamically stable wide complex tachycardia. 5 in vf the etiology of arrest is often attributed to either acute ischemia or non ischemic arrhythmia. Ventricular fibrillation vf or v fib is the most common initial heart rhythm in patients with out of hospital cardiac arrest ohca and the most salvageable one.