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19 Cards in this Set
- Front
- Back
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Amidarone
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Cordarone, Pacerone
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Amiodarone (Cordarone, Pacerone): Classification
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Antidysrhythmic
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Amiodarone (Cordaraone, Pacerone)
Therapeutic Effects: 1 |
Complex drug that affects sodium,potassium and calcium channels
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Amiodarone (Cordarone, Pacerone)
Therapeutic Effects: 2 |
Acts on all cardiac tissue by prolonging duration of action potential and refractory period
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Amiodarone (Cordarone, Pacerone)
Therapeutic Effects: 3 |
Has alpha and beta adrenergic blocking properties
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Amiodarone (Cordarone, Pacerone)
Therapeutic Effects: 4 |
Increases coronary perfusion and reduces PVR by relaxing smooth muscle
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Amiodarone (Cordarone, Pacerone)
Therapeutic Effects: 5 |
May provide some calcium channel blockade
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Amiodarone (Cordarone, Pacerone)
Indications: |
Persistent or recurrent V-Tach and V-Fib
Wide complex tachycardia of unknown etiology |
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Amiodarone (Cordarone, Pacerone)
Contraindications |
Sensitivity, Pulmonary edema, cardiogenic shock, hypotension, concurrent use of Procainamide or other drugs that prolong Q-T interval
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Amiodarone (Cordarone, Pacerone)
Side Effects: Cardiovascular |
hypotension from vasodilation and decreased contractility
Bradycardia AV conduction abnormalities prolonged Q-T interval |
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Amiodarone (Cordarone, Pacerone)
Side Effects: Other |
headache
dizziness flushing abnormal salivation |
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Amiodarone (Cordarone, Pacerone)
Administration:Cardiac Arrest (V-Fib, Pulseless V-Tach) |
300mg IVP, diluted in 20-30cc
may repeat 1/2 dose in 3-5 minutes |
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Amiodarone (Cordarone, Pacerone)
Administration: Wide Compex Tachycardia |
150 mg infusion over 10 minutes
May repeat as needed Follow with slow infusion 1mg/min over 6 hrs |
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Amiodarone (Cordarone, Pacerone)
Administration: Post Resuscitation |
150 mg over 10 min, unless 150 given during arrest
Followed by slow infusion of 1mg/min (360 mg over 6hrs) |
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Amiodarone (Cordarone, Pacerone)
Notes/Precautions #1 |
Max total and cumulative dose is 2.2 gm/24 hrs
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Amiodarone Cordarone, Pacerone)
Notes/Precautions #2 |
Half life as long as 40 days
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Amiodarone (Cordarone, Pacerone)
Notes/Precautions #3 |
Use caution with pregnant patients and patients with renal/hepatic failure
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Amiodarone (Cordarone, Pacerone)
Notes/Precautions #4 |
May be used for atrial tachycardia and other atrial or SVT dysrhythmias, after other standard therapies fail.
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Amiodarone (Cordarone, Pacerone)
Notes/Precautions #5 |
Many uses for Amiodarone are indicated only after digoxin and other therapies fail, and therefore may not be indicated in the field.
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