What is the maintenance infusion rate of Amiodarone after the bolus for VTACH with pulse?

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What is the maintenance infusion rate of Amiodarone after the bolus for VTACH with pulse?

After delivering the bolus to rapidly achieve therapeutic levels, you switch to a steady infusion to keep those levels without overshooting. The standard maintenance rate for amiodarone in VT with a pulse is 1 mg per minute (about 60 mg per hour). This rate maintains antiarrhythmic effect while minimizing risks like hypotension and bradycardia that faster infusions can cause, and it aligns with typical ACLS dosing after the initial bolus. The other options are either too slow to sustain effect or too fast and potentially unsafe for continuous administration.

After delivering the bolus to rapidly achieve therapeutic levels, you switch to a steady infusion to keep those levels without overshooting. The standard maintenance rate for amiodarone in VT with a pulse is 1 mg per minute (about 60 mg per hour). This rate maintains antiarrhythmic effect while minimizing risks like hypotension and bradycardia that faster infusions can cause, and it aligns with typical ACLS dosing after the initial bolus. The other options are either too slow to sustain effect or too fast and potentially unsafe for continuous administration.

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