Sacramento county has standing orders for amio 150 over 10 mins for pulsing asymptomatic vtach
Where I work we can only give it (standing) post ROSC if vtach and not already given
Sacramento does things a bit differently. To get Amio in Sac County, your patient has to be either in arrest (shockable rythm) (300 mg bolus then 150 mg bolus) or initially unstable tachycardia where you get shocked up to 3x, then if the QRS is still wide, you get amio - 150 mg over 10 min or 150 mg bolus followed by a shock (stable / unstable). No post ROSC amio in and of itself. I suspect that they expect that post ROSC, if your patient then presents with a dysrythmia, you'll implement the appropriate dysrythmia protocol.and not already given? Generally hanging a maintenance drip is standard in ROSC if conversion after administration during the arrest. Just seems odd to me that you wouldn't hang a drip in a ROSC patient after administering amio during the arrest but everywhere is different. I believe the AHA guidelines are to hang it if it was administered during the arrest.
We can hang it post VF/VT ROSC even if we haven't administered it if they continue to have runs post-ROSC.