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Amiodarone vs Lidocaine drip

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A question for the group... We keep running into the issue of the use of drips

after successful conversion from v-tach. I was always advised that if a certain

medication was involved in the conversion to maintain levels of the same

medication in the blood stream via a drip.

Now I am told by several sources that if Amiodarone is used successfully, use a

Lidocaine drip. However I have found drug info from " WYETH-AYERST LABORATORIES "

that comes in the package the following:

" Add 150 mg to 100mL D5W; administer over First 10 minutes (15 mg/min) or 300

mg, IV push, as recommended in VF/pulseless VT algorithm in the 2000 ACLS

guidelines followed by Slow Add 900 mg to 500 mL D5W; administer 33.3 mL/hr over

NEXT 6 hours (1 mg/min) "

Then as I understand it a maintenance infusion can be used over 18 hours.

My question to the group is this: 1. Which one is to be used for National Reg

Exams 2. Which one is used for ACLS exams?

I would appreciate any and all input. If you choose to email me directly, that

would be cool too

Thanks in advance. Larry Mc PJCEMSP

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We did too untill recently. maybe.....

Larry Mc

Re: Amiodarone vs Lidocaine drip

> I was always advised that if a certain medication was involved in the

> conversion to maintain levels of the same medication in the blood stream

via a drip.

> Doesnt answer your question as far as the " right " answer for the tests,

> however this is also what we do.

>

> Kathi

>

>

>

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Guest guest

We did too untill recently. maybe.....

Larry Mc

Re: Amiodarone vs Lidocaine drip

> I was always advised that if a certain medication was involved in the

> conversion to maintain levels of the same medication in the blood stream

via a drip.

> Doesnt answer your question as far as the " right " answer for the tests,

> however this is also what we do.

>

> Kathi

>

>

>

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Guest guest

We did too untill recently. maybe.....

Larry Mc

Re: Amiodarone vs Lidocaine drip

> I was always advised that if a certain medication was involved in the

> conversion to maintain levels of the same medication in the blood stream

via a drip.

> Doesnt answer your question as far as the " right " answer for the tests,

> however this is also what we do.

>

> Kathi

>

>

>

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