Amiodarone - Critical Care Medications

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  • Опубликовано: 24 ноя 2024

Комментарии • 105

  • @ICUAdvantage
    @ICUAdvantage  3 года назад +16

    The notes for this lesson (along with other benefits) are available only to the RUclips and Patreon members! Show your support and join now at either of the links below:
    RUclips Membership: adv.icu/3C4fiuR
    Patreon Membership: adv.icu/3A3m8yO

  • @icu_corey_rn_903
    @icu_corey_rn_903 Год назад +10

    Seasoned ICU nurse here… I come to this channel quite frequently just to brush up.

  • @micahsims6455
    @micahsims6455 2 месяца назад +2

    Started my first amio drip today for a patient who went into A-fib with RVR after sitting in her living room and being ran into by a drunk driver in a vehicle. After shoulder surgery, she went into A-fib with RVR. Three hours into the drip, she converted back into NSR. Love your content!

    • @ICUAdvantage
      @ICUAdvantage  2 месяца назад

      Yikes! Crazy story. The biggest takeaway from working trauma all those years was that life is precious and should be appreciated. In a moments notice, you can go from a totally normally day to the worst day of your life unexpectedly.

  • @javierserrano4744
    @javierserrano4744 3 года назад +60

    Started my first amiodarone drip. Patient was NSR with frequent PAC'S and history of afib/aflutter. This video came right on time good reference, thanks!!

    • @ICUAdvantage
      @ICUAdvantage  3 года назад +10

      I love it when a video is timed just right! 😊 Glad you found it helpful.

    • @Mr.medicine99
      @Mr.medicine99 Год назад

      I have one video on amiodarone effect on thyroid, please do spare some time and watch in my channel and inform.
      Budding new youtuber educator here.

  • @drewg3087
    @drewg3087 2 года назад +17

    What an amazing channel for a new nurse here. Thank you so much for the education!

    • @Mr.medicine99
      @Mr.medicine99 Год назад

      I have one video on amiodarone effect on thyroid, please do spare some time and watch in my channel and inform.
      Budding new youtuber educator here.

  • @stephendevore1800
    @stephendevore1800 2 года назад +7

    Thank you for the video ! This video does a very nice job of explaining its properties and function. I was put on this medication about 4 weeks ago by my cardiologist and now I know why. I started at 400mg for 2 weeks and now 200mg. It has definitely helped with my AFIB and lowered my pulse rate. Yes the side effects have a lot to be desired BUT i am still breathing.

    • @UptownMarty
      @UptownMarty Год назад

      Same here, I am so scared smh

    • @DavidRodriguez-er4rq
      @DavidRodriguez-er4rq Год назад

      Do you have a defibrillator or pace maker?

    • @DavidRodriguez-er4rq
      @DavidRodriguez-er4rq Год назад

      Do you get arrhythmias when over exerting or just on a normal state?

    • @UptownMarty
      @UptownMarty Год назад

      @@DavidRodriguez-er4rq normal state smh…I have a defibrillator….I jus had ablation surgery, but it was unsuccessful because the spot they needed to burn out was too close to the center of my heart. So now I’m on 3 different heart meds. Amio, Mexetiline and Nadolol

  • @karenhennington688
    @karenhennington688 3 года назад +1

    I appreciate that your content is adequate and up to date.

  • @FirstTimeHigh-cz2ro
    @FirstTimeHigh-cz2ro 2 года назад +6

    I’m using all your videos to review for a CRNA interview next week. Great info.

    • @ICUAdvantage
      @ICUAdvantage  2 года назад +3

      Very cool! Best of luck with your interviews. You'll have to let me know how it goes. I've had a lot of great feedback from people doing interviews, especially with some of the patho behind the drugs. Also check out the ICU Drips series as each classification of drug I do a good patho review there.

  • @MsGabbyxx3
    @MsGabbyxx3 3 года назад +4

    I use your videos as resources for my orientees, thank you so much for what you do!

    • @ICUAdvantage
      @ICUAdvantage  3 года назад

      Wonderful to hear! Thank you so much!

  • @PreppyPrincess777
    @PreppyPrincess777 3 года назад +6

    I hope you’re on the mend and thanks for these informative videos!

    • @ICUAdvantage
      @ICUAdvantage  3 года назад +1

      Yes, feel much better! 😊 Thank you!

  • @BabyIsa02
    @BabyIsa02 3 года назад +8

    I think I may have watched at least half of all the videos you’ve ever posted- binge-watching. LOL. Thank you so much! Your videos are incredibly helpful!

    • @ICUAdvantage
      @ICUAdvantage  3 года назад +1

      Really happy to hear this Merissa, but my that is quite a binge now days! haha 😊

  • @Tmcneil48
    @Tmcneil48 3 года назад +6

    Excellent presentation 👏. Thank you so much.

    • @ICUAdvantage
      @ICUAdvantage  3 года назад +2

      Thanks Terri! Glad you liked it!

  • @mealex3988
    @mealex3988 3 года назад +2

    Hello. Love your videos. Is it possible to do a video about ccu meds and what to look for, i.e which labs, sideeffects etc?

  • @princysebastian407
    @princysebastian407 3 года назад +5

    Kindly mention about the diluent ,it was nice presentation and beneficial who has been working in critical care unit.

    • @rma3899
      @rma3899 3 года назад +1

      Definitly D5W

    • @ICUAdvantage
      @ICUAdvantage  3 года назад +2

      I thought I had mentioned about it being in D5W? But yes, as R Ma stated, definitely D5W 😊 Glad you enjoyed the video!

    • @rma3899
      @rma3899 3 года назад

      @@ICUAdvantage indeed, you did

  • @Finess199
    @Finess199 3 года назад +3

    Ty! So glad I became a member love your videos and notes

    • @ICUAdvantage
      @ICUAdvantage  3 года назад

      Really happy to hear it has been good for you! 😊 Thanks as always for your support and glad the content has been enjoyed!

  • @Chrissybabe629
    @Chrissybabe629 3 года назад +5

    Here in my hospital we give 300mg in 100ml over an hour as a loading dose. Then 900mg in 50ml over 23 hours. Dilution fluid is D5W.

    • @ICUAdvantage
      @ICUAdvantage  3 года назад

      Interesting! Thanks for sharing!

    • @Mr.medicine99
      @Mr.medicine99 Год назад

      I have one video on amiodarone effect on thyroid, please do spare some time and watch in my channel and inform.
      Budding new youtuber educator here.

  • @nimochoudhary6265
    @nimochoudhary6265 3 года назад +2

    So yeah after a long pause. U come wid One of my toughest Topic.... And u make it easiest way As usual.. Am very glad to have u in my life. A real mentor..thnku

    • @ICUAdvantage
      @ICUAdvantage  3 года назад +1

      Wow, thanks so much for such kind words. Really glad to be able to be of help for you!

  • @shaimamoh3831
    @shaimamoh3831 Год назад +1

    should we give a loading dose of amio in the central line or peripheral; a 20 gauge AC line is acceptable to administer loading amio and maintenance amio to manage monomorphic VT? Thank you.

  • @nygeek6471
    @nygeek6471 3 года назад +4

    This was great, thank you

  • @zacheryfeasel2542
    @zacheryfeasel2542 3 года назад +4

    One note - if amiodarone had beta blocking properties it would be a beta antagonist (graphic shows agonist). Blockade = anatagonism in this instance; an agonist would be a chronotropic drug (speed up the heart)

    • @ICUAdvantage
      @ICUAdvantage  3 года назад +5

      Thanks for pointing that out. I def did accidentally write agonist while properly stating antagonist.

  • @ericpeterson795
    @ericpeterson795 4 месяца назад

    Thanks for posting this ❤

  • @bukolapopoola5574
    @bukolapopoola5574 8 месяцев назад

    Thank you for sharing.

  • @rma3899
    @rma3899 3 года назад +2

    Great video like always , highly informative. No matter how much I read U always surprise me with something I don't know. Thank you Friend

    • @ICUAdvantage
      @ICUAdvantage  3 года назад +1

      It's a never ending process of learning! That's why I love it so much

    • @rma3899
      @rma3899 3 года назад

      @@ICUAdvantage agree

  • @skolfd4494
    @skolfd4494 Год назад

    Wow this is amazing!

  • @jennylagrana7510
    @jennylagrana7510 9 месяцев назад

    Im an icu nurse but retired i like your videos

    • @ICUAdvantage
      @ICUAdvantage  9 месяцев назад

      Thanks Jenny and congrats on the retirement!

  • @usmleck7000
    @usmleck7000 3 года назад +1

    Thank you 🙏

  • @hungkim2648
    @hungkim2648 Год назад

    thank you your teaching...maria

  • @arunsrivastava774
    @arunsrivastava774 Год назад

    Excellent

  • @lpeyla71
    @lpeyla71 7 месяцев назад

    Cool! Thank you 😮

  • @binary964
    @binary964 3 года назад +11

    I just received my ACLS cert yay thank you your videos helped me too. Also it's just a slight difference, but isn't the recommendation still to dilute it in D5W during cardiac arrest? My examiner did not accept when I only said 300mg IV push (for VF after defib & epi), so I added, diluted in 10-20cc D5W

    • @dylanl4780
      @dylanl4780 3 года назад +5

      In a code situation: initial 150 mg IV bolus of amiodarone, followed by amiodarone 150 mg IV drip in D5W over ~10 minutes. Use a filter needle when mixing! Don't have to worry about filter needle with the bolus in the setting of a code - more important to give the drug and hopefully regain ROSC/sinus rhythm

    • @ICUAdvantage
      @ICUAdvantage  3 года назад +3

      For codes, we just give it straight, no dilution.

  • @lodiiilee1014
    @lodiiilee1014 Год назад

    In cardiac arrest while pushing the 300mg amiodarone do we need to dilute with D5%????? Some said undiluted is that right ???

  • @aswnrjv
    @aswnrjv 2 года назад

    What's the first line of treatment for AF with WPW syndrome?

  • @dopestchannelever
    @dopestchannelever 2 года назад +1

    Do you have to use the micron filter when giving the loading dose too?

    • @ICUAdvantage
      @ICUAdvantage  Год назад +1

      Yup!
      Only time we don't is for push dose in code for refractory vfib/vtach

  • @ruyaamir3813
    @ruyaamir3813 3 года назад

    Thank you it was sooo informative 👍

  • @LizYoakNursing
    @LizYoakNursing 3 года назад +1

    Thanks!

    • @ICUAdvantage
      @ICUAdvantage  3 года назад

      Thank you so much Elizabeth for this as well as your support!

    • @Mr.medicine99
      @Mr.medicine99 Год назад

      I have one video on amiodarone effect on thyroid, please do spare some time and watch in my channel and inform.
      Budding new youtuber educator here.

  • @jonathanlopez9797
    @jonathanlopez9797 2 года назад

    great review

  • @cs8169
    @cs8169 3 года назад +1

    you are the best

  • @twominuteanaesthesia
    @twominuteanaesthesia 6 месяцев назад

    Good content

  • @mymage76
    @mymage76 3 года назад +1

    Thank you so much for all the information you provide. I would like to access the notes for each lesson but I am having a hard time locating them. I see the quiz link but not the notes link.

    • @ICUAdvantage
      @ICUAdvantage  3 года назад

      Hi Kye! First of thank you so much for your willingness to show me and this channel support through the RUclips membership. I really appreciate that!
      To access the notes, if you go to the main ICU Advantage RUclips page (ruclips.net/user/ICUAdvantage) then click on the community tab, you will see the member only posts there. Each week, I include the link to the dropbox which has all the notes as well as the updated password for the month.
      Please let me know if you have any problems finding it. Emailing is usually the best option.
      -Eddie

    • @ruyaamir3813
      @ruyaamir3813 3 года назад

      @@ICUAdvantage do you have any gynaecological cases to join??

  • @howardkelly1201
    @howardkelly1201 3 года назад

    Great job! Ty

  • @hmaivantawl7539
    @hmaivantawl7539 3 года назад

    Great video

  • @martinyoung9901
    @martinyoung9901 2 года назад

    Very helpful. Thanks very much!

  • @garyclark9807
    @garyclark9807 Год назад

    I’ve been on 200mg since august. Feeling toxic on it.

  • @jonmendoza6256
    @jonmendoza6256 3 года назад

    Hi Eddie. What microphone do you use? Cheers mate! - Jon

    • @ICUAdvantage
      @ICUAdvantage  3 года назад +1

      Hey Jon, for now I use the Blue Yeti.

    • @jonmendoza6256
      @jonmendoza6256 3 года назад

      @@ICUAdvantage Thank you. It’s so clear. :)

  • @hadidarvishikhezri814
    @hadidarvishikhezri814 Год назад

    ❤❤❤

  • @paymenomind1604
    @paymenomind1604 3 года назад

    I was the 1,000 like!!!

  • @Moom120
    @Moom120 3 года назад

    👍

  • @belgianmalinoit9665
    @belgianmalinoit9665 3 года назад +1

    Lidocaine was so much easier.

    • @jacksutherland259
      @jacksutherland259 2 года назад

      Im pretty sure I was given both in the hospital until I had a VT ablation

    • @belgianmalinoit9665
      @belgianmalinoit9665 2 года назад +1

      @@jacksutherland259 Did you have both for the same episode? Mixing the two is supposed to unleash all kinds of hell.

    • @jacksutherland259
      @jacksutherland259 2 года назад

      Belgian Malino im pretty sure before the ablation I had both . I've drips. They took me off one and the alarms were going off on the monitors. But after the procedure off of both. I am currently taking tykosin. My procedure was in 2015. All is good.

    • @belgianmalinoit9665
      @belgianmalinoit9665 2 года назад +1

      I’m glad!

    • @Mr.medicine99
      @Mr.medicine99 Год назад

      I have one video on amiodarone effect on thyroid, please do spare some time and watch in my channel and inform.
      Budding new youtuber educator here.

  • @lazirus7692
    @lazirus7692 9 месяцев назад

    Thx for the video.
    What if the patient resistant SVT converted immediately after the loading amiodarone dose ? Should I finish off the infusion for 24 hours or should I just stop it.

    • @ICUAdvantage
      @ICUAdvantage  9 месяцев назад +1

      It depends on who you ask, but I've seen it go both ways, although typically if they convert (either from metoprolol, cardizem or amio bolus) then we often won't follow up with a drip unless they go back in.

  • @dgmnhn2098
    @dgmnhn2098 Месяц назад

    Thanks !

  • @drsohailzahir2837
    @drsohailzahir2837 Год назад

    ❤❤❤