Emergency Drugs · Class III antiarrhythmic
Amiodarone
Dose
Arrest: 300 mg IV bolus. Stable: 300 mg over 20–60 min, then 900 mg/24 h.
Mechanism
Dilution & preparation
300 mg in 250 mL D5W (NOT saline); use central line for long infusions
Use
Monitoring
Side effects
- • Pulmonary fibrosis
- • Thyroid dysfunction
- • Hepatotoxicity
- • Corneal deposits
- • Photosensitivity
- • Bradycardia
Related in WardRound
Amiodarone dilution
Dilution · Maintenance: 900 mg in 500 mL D5W (1.8 mg/mL). Central line for >24 h.
Cardiac Arrest
Protocol · ALS algorithm
AF with RVR
Protocol · Rate or rhythm control
Ventricular Tachycardia
Protocol · Pulseless = ALS, pulse = stable/unstable
Refractory VF / pVT
Protocol · ≥3 shocks without ROSC
Unstable Narrow-Complex Tachycardia
Protocol · Synchronised DC cardioversion
Unstable Wide-Complex Tachycardia
Protocol · Treat as VT — synchronised shock
Atrial Fibrillation
Topic · Cardiology
Tachycardia Approach
Topic · Cardiology
Ventricular Tachycardia
Topic · Cardiology
Always confirm dose against your local formulary / BNF before prescribing.
