Mr Taylor is now in the Coronary Care Unit. the amiodarone infusion has been running for 4 hours. His cardiac rhythm has reverted to SR. Mr Taylor begins to complain of dizziness and feeling light headed.
• While you’re reporting the observations to the senior nursing staff, you notice that Mr Taylor’s pulse rate has dropped to 38 bpm and his SpO2 are down 88%. You urgently call a MET
The medical team arrive, the amiodarone infusion is ceased, stat IV 500ml Gelofusion is ordered. An urgent request for an ECG is sent. While the fluid is started into the CVL, Mr Taylor stops breathing and becomes unresponsive. His cardiac monitoring shows VF.
• You commence CPR, while the emergency trolley is brought into the room. Defibrillation pads are placed on Mr Taylor’schest and the ALS staff defibrillate with 200 joules. You recommence CPR and IV adrenaline is given. Staff begin to fill the room and the environment becomes very loud and disorganised.
Mr Taylor is successfully returned to SR after his 3rd direct current shock. His observations are PR 112 bpm, BP 95/52mmHg, SpO2 95% on 6L/min HM, RR 21 bpm.
Causes of symptoms in patients
Mr. Tailor has been admitted to coronary care unit and given amiadarone infusion for 4 hours. He began to complain of feeling dizziness and light headed. This symptoms in the patient due to the side effects of the amiadarone medication. It is a an antianginal and antirrhythmic drug known to cause side effects of dizziness, light headed feeling, chest pain and breathing problems in certain patient
Mode of action and side effects:
Amediarone is given to patients to treat abnormal health rhythms or ventricular tachycardia. The antirhythmic action of amiaradone is seen because it increases the action of ventricular and atrial muscle by inihibiting the action of Na, K-activated myocardial adenosine triphosphate (Amiodarone – DrugBank, 2017). Hence, sysmptoms of dizziness is caused due to the use of the drug. Signs of dizziness suggest that the drug is not working for the patient
Adverse effect of Amiodarone:
The following the adverse effect of Amiadarone seen due to allergic reactions: Difficulty in breathing Risk of lung problems Swelling of the face Chest pain and cough in blood Irregular heart beat Jaundice Sensitivity to the eyes and symtoms of blurred vision Skin rashes van (Erven & Schalij 2010).
Amiodarone - DrugBank. (2017). Drugbank.ca. Retrieved 29 May 2017, from https://www.drugbank.ca/drugs/DB01118 van Erven, L., & Schalij, M. J. (2010).
Amiodarone: an effective antiarrhythmic drug with unusual side effects. Heart, 96(19), 1593-1600.