V Fib Treatment Acls Amiodarone

Treatment modalities per acls v fib or v tach w o pulses are the only shock able rhythms. 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 the arrhythmia persists or returns you may give one additional bolus of 150mg iv io push 3 5 minutes after the initial dose.

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2 2 grams over 24 hours.

V fib treatment acls amiodarone. 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. The same is true for lidocaine even though the half life is much shorter than amiodarone. The lower second dose is due to the long half life of amiodarone and the risk for toxicity if rosc occurs. 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.

For ventricular fibrillation and ventricular tachycardia without a pulse. If needed a second dose of 150 mg iv io push may be administered. Algorithm s ventricular fibrillation vf pulseless ventricular tachycardia pvt ventricular tachycardia with a pulse. Within acls amiodarone is used for its antiarrhythmic properties and is effective for the treatment of supraventricular arrhythmias and ventricular arrhythmias.

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. 8 although vf appears as a chaotic and disorganized rhythm characteristics of the ventricular fibrillation waveform such as. 300 mg bolus iv. 150 mg bolus iv.

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. 5 in vf the etiology of arrest is often attributed to either acute ischemia or non ischemic arrhythmia. Start at 360j and continue at 360j with a mono phasic defibrillator high quality cpr epi or vasopressin 1st or 2nd dose amiodarone 300mg then 150mg 450mg max. 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. Give amiodarone 300mg iv io push. It is recommended to only use amiodarone for life threatening arrythmias because of its association with toxicity and complex possible drug interactions. The first dose of amiodarone when being used to treat vt v fib is 300 mg via iv io push.