Question

A patient is in refractory ventricular fibrillation. High-quality CPR is in progress, shocks have been given, 1 dose of epi was given after the 2nd shock, and an antiarrhythmic drug immediately after the 3rd shock. What drug should be requested to be prepared for administration?

1) Amiodarone
2) Lidocaine
3) Procainamide
4) Sotalol

Answer 1

The drug that should be requested to be prepared for administration is Amiodarone.

Step-by-step explanation:

Based on the given scenario, the drug that should be requested to be prepared for administration is Amiodarone. Amiodarone is an antiarrhythmic drug commonly used in the management of ventricular fibrillation that is refractory to initial treatments.

Amiodarone works by inhibiting multiple ion channels, including sodium, potassium, and calcium channels, which helps to stabilize the membrane potential and restore a normal heart rhythm. It has a wide spectrum of antiarrhythmic activity and is effective in both ventricular and supraventricular arrhythmias.

Amiodarone is typically administered intravenously in a loading dose followed by a maintenance infusion. It has a long half-life, allowing for sustained antiarrhythmic effects. However, it is important to note that amiodarone can have potential side effects and drug interactions, so it should be used with caution and under medical supervision.