Question

Pt in refractory v fib and has gotten multiple debribillations, epinephrine 1 mg IV x 2 and amiodarone 300 mg IV x 1. Pt is intubated. Which best describes the recommended 2nd dose of amiodarone?

A. 1 mg/kg IV push
B. 1 to 2 mg/min infusion
C. 150 mg IV push
D. 300 mg IV push

Answer 1

The recommended second dose of amiodarone for a patient in refractory ventricular fibrillation after an initial 300 mg dose is 150 mg IV push, in line with ACLS guidelines.

Step-by-step explanation:

The correct answer to the question "Which best describes the recommended 2nd dose of amiodarone?" for a patient in refractory ventricular fibrillation (v fib) who has already received multiple defibrillations, epinephrine 1 mg IV twice, and amiodarone 300 mg IV once, and is intubated is C. 150 mg IV push. According to Advanced Cardiovascular Life Support (ACLS) guidelines, after the initial 300 mg IV push of amiodarone, the recommended second dose is 150 mg IV push. This is provided to help regain a stable heart rhythm.