Flutter habit12/27/2023 ![]() If you are in a hurry, lidocaine may be a better option if the prefilled syringe is ready to go. Finding the ampules of amiodarone and drawing them up may take time. However, lidocaine is available in prefilled syringes, which may make it the preferred choice in ambulances or in other emergency cases where time is critical. ![]() It is a second-line treatment amiodarone is usually the first-line treatment. Ganio: Lidocaine is included in the crash cart to treat a more life-threatening arrhythmia. Be very aware that alternative dosage forms can mean you need to be doing something differently. If the alternative is in a different form than what you are used to, such as a 4 mL vial instead of a 2 mL vial, you may be in the habit of drawing the entire vial when you should not be doing that with the alternative form. Also, it is important to be careful with the alternatives. There are more than 300 drugs in shortage as of the end of March. Ganio: It is important to know that there may be shortages, and there are a lot of disciplines that are acutely aware of shortages, but sometimes, unless you are affected by shortages, you may not know this is a major issue. Healio: What can cardiologists do if their patient is having trouble getting this medication? If you are not using the drug of choice, you are going with another agent, which can mean different or worse side effects, less effectiveness or more expense. Adenosine is a drug of choice, which means it is the first option for a reason: side effects, cost and/or efficacy. Ganio: There are other drugs that can be used in both situations. Healio: What are the consequences if a patient cannot get this medication? Because those are ready to administer, they can be kept in crash carts or emergency kits. But the prefilled syringes seem to be problematic. The larger vials, the ones we might use in cardiac testing suites, are available, and smaller vials are available where you manually draw up the product. That means there could be a delay in getting the appropriate package size and concentration. Ganio: Some of the prefilled syringes, which are the most convenient for those emergent situations, have been in short supply. Healio: What is the nature of the shortage of adenosine? Those are the primary uses in the cardiology world. This can be used in life-threatening situations. ![]() It can slow down the heart and may stop it for a few seconds to reset its electrical activity. It can be used in cardiac stress tests and when patients have a specific type of arrhythmia when their heart is racing. Ganio: This is used in a couple of different areas. Healio spoke with Michael Ganio, PharmD, MS, BCPS, FASHP, senior director of pharmacy practice and quality at ASHP, to discuss what the affected drugs are used for, the consequences of not being able to obtain the drugs and the alternatives that physicians should be aware of. this year, several are used in cardiac emergencies, according to the American Society for Health-System Pharmacists.Īmong the cardiac drugs in short supply are adenosine and lidocaine, which can be used to treat life-threatening arrhythmias, and dofetilide, which is used to treat atrial fibrillation and atrial flutter but must be initiated in the hospital and needs to be reinitiated in the hospital if patients are unable to get refills for use at home. Cardiologists should be aware of which drugs are in short supply and the potential alternatives.There have been shortages of several cardiac drugs, including some used for emergencies, this year.If you continue to have this issue please contact to Healio Key takeaways: This article has been viewed 2,133,262 times.We were unable to process your request. This article received 27 testimonials and 89% of readers who voted found it helpful, earning it our reader-approved status. WikiHow marks an article as reader-approved once it receives enough positive feedback. There are 12 references cited in this article, which can be found at the bottom of the page. He served for 9 years on the Council of UKISCRS (United Kingdom & Ireland Society of Cataract & Refractive Surgeons). Ursell is one of few surgeons to be awarded an MD degree in modern cataract surgery. Ursell earned his MD from St Mary’s Hospital in London and became a Fellow of the Royal College of Ophthalmologists in 1995. He has published over 20 peer reviewed papers on cataract surgery. ![]() ![]() He has performed over 7,000 cataract operations over the course of his career. Paul Ursell is an Ophthalmologist and Cataract Surgeon in the United Kingdom. This article was medically reviewed by Paul Ursell, MD and by wikiHow staff writer, Eric McClure. ![]()
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