ACLS review

171.  What classes of medication should be avoided for pre-excitation syndromes?
AV nodal blocking drugs including adenosine, calcium blockers, β-blockers, and digoxin

172. What antiarrhythmic medication may be used in patients with pre-excited atrial arrhythmias?
Amiodarone

173. For patients who are stable wide complex tachycardia, what medications should be considered?
 IV antiarrhythmic drugs including procainamide, Amiodarone, or sotalol

174. What is the dose of Amiodarone in treating wide complex tachycardia or symptomatic monomorphic VT?
Amiodarone is given 150 mg IV over 10 minutes and dosing should be repeated as needed to a maximum dose of 2.2 g IV per 24 hours

175.  As a second line antiarrhythmic, Lidocaine may be considered for treating monomorphic VT. What is the dosing regimen for Lidocaine?
Lidocaine can be administered at a dose of 1 to 1.5 mg/kg IV bolus followed by a maintenance infusion of 1 to 4 mg/min.



Reviewed 2/28/16

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