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Amiodarone
Generic Name: Amiodarone
Trade Name: Cordarone Indication a-fib, ventricular arrhythmias, SVT, ACLS protocol for v-fib and v-tach
Action: prolongs phase 3 of the action potential, makes the heart more tolerant to arrythmias, 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
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