Amiodarone(Cordarone) - Revisited

[N2DFire]

I was at a ConEd lecture last night and during one of our "off the main topic" discussions someone brought up the new ACLS Guidelines & our protocol on Amiodarone.

As I mentioned in a previous thread on this topic ( http://www.firehouse.com/forums/Forum52/HTML/000035.html ), we are currently using it in a 300mg rapid bolus IV for V-Fib refractory to Lidocaine. (Which would make your drug pattern look like this : Epi 1mg - Lidocane 1.5mg/kg - Epi 1mg - Lidocane 1.5mg/kg - Amiodarone 300mg )

I am curious as to when/how your agency uses this drug. There were some (myself included) who think we are waiting too long into the protocol to give this drug.

Also there was mention in last night of possible drug incompatabilities, but I was never made aware of this issue during our roll out training on the new drug. Anyone else ever hear of this ? (Sorry I don't have a PDR handy or I would look it up myself)

Thanks in advance for your input.

Take Care - Stay Safe
Stephen

[PFD109NFD107]

In our new VF protocol it will read
Vasopressin
Amiodarone
Epi 1:10000
Amiodarone
Mag Sulfate
Sodium Bicarb

This goes along with the new ACLS guidelines.

[This message has been edited by PFD109NFD107 (edited 11-17-2000).]

[This message has been edited by PFD109NFD107 (edited 11-17-2000).]

[Quint1Medic]

So much for "shock-shock-shock-everybody-shock-little-shock-big-shock," huh?

I guess it's time to come up with a new mnemonic!

*sigh* said the old-timer...

[GunghoEMTP]

Our protocol will be after your first three shocks, cont. CPR, Tube'em, Start a line if there still in v-fib,Give 1mg of EPI IVP followed by 300mg of Amiodorone IVP, circulate those for 30-60secs, shock again (4th shock), then return to ACLS as we now it for v-fib, of epi shock, lido shock, so on and so forth.