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Drug Classification/Dosage Mechanism of Action Indication Contraindications Adverse Effect Nursing Responsibility

/Route
Generic:  Antiarrythmic Shows beta blocker- Treat ventricular  Pregnant,  Common  Obtain
Amiodarone / The like and potassium arrhythmias and nursing side effects hypersensitivity
recommended channel blocker-like atrial fibrillation. mother, include history.
Brand: dosing actions on the SA and The drug individuals fatigue, eye  Monitor cardiac
Cordarone schedule is an AV nodes, increases prevents the with sinus deposits, rhythm
Pacerone initial loading the refractory period recurrence of nodal tremor, continuously.
dose of 800- via sodium- and life-threatening bradycardia, unsteady  Give drug with
1600 mg daily potassium-channel ventricular atrioventricul gait, nausea, meals to decrease
for 1 to 3 effects, and slows arrhythmias and ar block, and vomiting, GI problems.
weeks, intra-cardiac produces a second or constipation,  Encourage the
followed by conduction of the modest reduction third degree weight loss, patient to
600-800 mg cardiac action of sudden deaths heart block dizziness, verbalize any
daily for 1 potential, via sodium- in high-risk who do not and visual discomfort since
month, then channel effects. patients have an changes. this drug may
400 mg daily artificial Amiodarone have several
for pacemaker, is also adverse reactions.
maintenance / should not be associated  On the beginning
IV given to with heart of the therapy, IV
neonates, block, low infusion should
because the blood be monitored
benzyl pressure, well since it may
alcohol it pulmonary affect the
contains may fibrosis kidney’s normal
cause the (scarring of functioning
fatal the lungs), resulting to
"gasping heart failure, hepatocellular
syndrome” , cardiac necrosis and
not given arrest, hypo acute renal
with or failure.
lidocaine. hyperthyroid
ism, blue
skin
discoloration
, liver
failure, and
cardiogenic
shock.