Class III

-Amiodarone (Cordarone), PO loading 400-1200 mg/d in divided doses for 24 weeks, then 200-400 mg PO qd (5-10 mg/kg) [200 mg] or amiodarone (Cordarone) 150 mg in 100 mL of D5W, IV infusion over 10 min, then 900 mg in 500 mL of D5W, at 1 mg/min for 6 hrs, then at 0.5 mg/min thereafter.

-Bretylium (Bretylol) 5-10 mg/kg IV over 5-10 min, then maintenance of 1-4 mg/min IV or repeat boluses 5-10 mg/kg IV q6-8h; infusion of 1-4 mg/min IV.

-Sotalol (Betapace) 40-80 mg PO bid, max 320 mg/d in 2-3 divided doses [80, 160 mg].

4. Extras: CXR, ECG, Holter monitor, signal averaged ECG, cardiology consult.

5. Labs: SMA 7&12, Mg, calcium, CBC, drug levels. UA.

Was this article helpful?

0 0

Post a comment