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Amiodarone
150 mg iv over 10 min
follow with 1 mg/min infusion for 6 hr then 0.5 mg/min infusion for 18 hr
additional doses of 150 mg iv can be given every 10 min as needed
maximum daily dose is 2.2 g
Adenosine
start with 6 mg iv push
if no response in 2 min give 12 mg iv push
if no response in 2 min give another 12 mg iv push
if no response go to amiodarone
if the patient is not stable
use synchronized shocks
start at 100 J
repeat if needed and add 100 J to each successive shock
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