Amiodarone - Critical Care Medications
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- Опубликовано: 1 июл 2024
- Discussion of Amiodarone in the ICU. 📝 Free Quiz: adv.icu/3nwBitG
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At 3:45 I wrote accidentally wrote agonist. It is an antagonist, which I properly stated in the audio.
In this lesson we discuss a common medication used in critical care. While it is not specific to only being used in the ICU, it is one that you will use often. It is good to review how this medication works, some of the side effects it has, as well as its uses and dosing.
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0:00 Intro
1:15 What is Amio & How it Works
4:00 Side Effects
5:26 Uses in Critical Care
8:44 Wrap Up
#ICUAdvantage #Amiodarone #Medications
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murder
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!!
I love it when a video is timed just right! 😊 Glad you found it helpful.
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.
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!
Really happy to hear this Merissa, but my that is quite a binge now days! haha 😊
What an amazing channel for a new nurse here. Thank you so much for the education!
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.
Seasoned ICU nurse here… I come to this channel quite frequently just to brush up.
Awesome! Glad you find the content helpful!
I appreciate that your content is adequate and up to date.
Happy to be able to help Karen!
Excellent presentation 👏. Thank you so much.
Thanks Terri! Glad you liked it!
Ty! So glad I became a member love your videos and notes
Really happy to hear it has been good for you! 😊 Thanks as always for your support and glad the content has been enjoyed!
I hope you’re on the mend and thanks for these informative videos!
Yes, feel much better! 😊 Thank you!
I use your videos as resources for my orientees, thank you so much for what you do!
Wonderful to hear! Thank you so much!
I’m using all your videos to review for a CRNA interview next week. Great info.
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.
Thank you for sharing.
This was great, thank you
Glad it was helpful!
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?
Wow this is amazing!
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
It's a never ending process of learning! That's why I love it so much
@@ICUAdvantage agree
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.
Same here, I am so scared smh
Do you have a defibrillator or pace maker?
Do you get arrhythmias when over exerting or just on a normal state?
@@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
Thank you it was sooo informative 👍
Glad it was helpful!
Thank you 🙏
You’re welcome 😊
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
Wow, thanks so much for such kind words. Really glad to be able to be of help for you!
Cool! Thank you 😮
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)
Thanks for pointing that out. I def did accidentally write agonist while properly stating antagonist.
Excellent
Great job! Ty
I appreciate that! Thank you!
thank you your teaching...maria
You are very welcome!
great review
Thank you!
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.
Kindly mention about the diluent ,it was nice presentation and beneficial who has been working in critical care unit.
Definitly D5W
I thought I had mentioned about it being in D5W? But yes, as R Ma stated, definitely D5W 😊 Glad you enjoyed the video!
@@ICUAdvantage indeed, you did
Good content
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.
Interesting! Thanks for sharing!
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.
you are the best
You are too kind!
Great video
Thanks!
Thanks!
Thank you so much Elizabeth for this as well as your support!
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.
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.
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
@@ICUAdvantage do you have any gynaecological cases to join??
What's the first line of treatment for AF with WPW syndrome?
Very helpful. Thanks very much!
Youre welcome Martin!
In cardiac arrest while pushing the 300mg amiodarone do we need to dilute with D5%????? Some said undiluted is that right ???
Do you have to use the micron filter when giving the loading dose too?
Yup!
Only time we don't is for push dose in code for refractory vfib/vtach
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
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
For codes, we just give it straight, no dilution.
Im an icu nurse but retired i like your videos
Thanks Jenny and congrats on the retirement!
Hi Eddie. What microphone do you use? Cheers mate! - Jon
Hey Jon, for now I use the Blue Yeti.
@@ICUAdvantage Thank you. It’s so clear. :)
I was the 1,000 like!!!
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I’ve been on 200mg since august. Feeling toxic on it.
👍
ty!
Lidocaine was so much easier.
Im pretty sure I was given both in the hospital until I had a VT ablation
@@jacksutherland259 Did you have both for the same episode? Mixing the two is supposed to unleash all kinds of hell.
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.
I’m glad!
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.
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.
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.
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