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a) Amiodarone

This is a powerful drug for the control of atrial and ventricular arrhythmias.

The dosage regime is as follows (via a central line):-

300 mgs in 100mls 5 % Dextrose over 1 hour
then 900 mgs in 250 mls 5% Dextrose over 23 hours

The initial oral dose is then 200 mgs tds for 1 week reduced thereafter to bd followed by maintenance od.

( Note. Some has a preference not to use this agent first line and prefers Digoxin)

b) Cardioversion

A DC shock applied to the chest is an effective way of restoring sinus rhythm, particularly supraventricular tachycardia. This is usually carried out by the Cardiologist.

3. Ventricular Arrhythmias

VF\VT - See cardiac arrest

Kallikreins on steroids

kallikreins on steroids

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