Amiodarone

Generic Name

Amiodarone

Trade Name

Cordarone

Indication

ventricular arrhythmias, SVT, ACLS protocol for v-fib and vTACH

Action

prolongs action potential, inhibits adrenergic stimulation, slows rate, decreases peripheral vascular resistance causing vasodilation

Therapeutic Class

Antiarrhythmic class III, Potassium channel blocker

Pharmacologic Class

none

Nursing Considerations

may lead to ARDS, pulmonary toxicity, CHF, bradycardia, hypotension

increases risk for QT prolongation

increases digoxin levels

increases activity of warfarin

monitor EKG continuously while on therapy

assess for signs and symptoms of ARDS

monitor liver function test

check dosage with another RN

teach pt to monitor pulse daily and report abnormalities

avoid drinking grapefruit juice