A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40 mm hg, respiratory rate is 28 breaths/min, and oxygen saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. If the lidocaine doent work what drug do you give next?

Question

22-10-2018
Biology

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A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40 mm hg, respiratory rate is 28 breaths/min, and oxygen saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. If the lidocaine doent work what drug do you give next?

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soneyedesola44 soneyedesola44 · Answer 1 · 2019-09-18T19:53:23+02:00

The drug you should give next is Amiodarone 300 mg

It is a drug that is used to treat and prevent irregular heartbeat. It helps in blocking some electrical signals that can result to irregular heartbeat in the heart. Amiodarone is a Class III antiarrhythmic.

Further Explanation

How to administer Amiodarone 300 mg

Based on medical directives, a Nurse may administer a dose of amiodarone 300 mg by

Drawing amiodarone 300 mg (6 mL) into a 30 ml syringe
Add 24 ml from a bag of D5W so as to create a final solution 300 mg in 30 ml
There no need for a filter for the dose
Administer Intravenous direct.

Amiodarone is used to treat supraventricular tachyarrhythmias such as atrial fibrillation. It is also used to restore the normal heart rhythm including maintaining a steady and regular heartbeat.

It is anti-arrhythmic drug. The drug is available under different brand name, which include: Pacerone, Cordarone, and Nexterone.

The drugs might take several weeks to begin effect when used by mouth and it can also be given by intravenously, or intraosseously.

There are different side effects that are associated with this drug and these include:

feeling tired
Nausea
Tremor
Constipation

It can also causes serious side effect which include

Liver problems
Visions problems
Thyroid problems
Impaired memory
Death

Amiodarone was first used medically for chest pain in 1962 and due to very serious side effect; the drug was removed from the market. Because of its effectiveness in the treatment of arrhythmias, the drug was reintroduced in 1974.

LEARN MORE:

ventricular tachycardia https://brainly.com/question/12694979

KEYWORDS:

amiodarone 300 mg
side effect
arrhythmias
irregular heartbeat
chest pain

ahsan57900 ahsan57900 · Answer 2 · 2021-09-19T16:54:33+02:00

Epinephrine and amiodarone are used to treat the problem of irregular heart beat.

Epinephrine is the first drug given to the patient which is used in order to treat problems with heart rhythm and irregular heart beat. If epinephrine is not effective then the amiodarone 300 mg will be used which also used to treat the irregular heart beat. The old man experiences severe discomfort in the chest and have a very weak pulse rate so these Antiarrhythmic drugs such as Epinephrine and amiodarone are used in order to normalize the pulse rate.

Learn more: https://brainly.com/question/11396854