https://www.gloshospitals.nhs.uk/gps/treatment-guidelines/amiodarone-loading-dose-regimen/
This article recommends IV Amiodarone be administered via a 20gauge cannula in the antecubital fossa which contradicts INS guidelines to avoid areas of flexion and the use of the smallest gauge catheter . Any thoughts? We are continuing to see a significant number of Amiodarone infiltrates despite the use of a 22 gauge IV in the forearm.
ACF has highest rates of all complications and is not the appropriate site for anything more than an emergent site for immediate access for a temporary period while other VA plans are made. Certainly a vesicant in this location is very high risk and is not recommended. I have not read this but the website looks like a single hospital system. Has this been published in a peer reviewed publication? If not it is only appropriate for this facility and is not transferrable to others.
Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI
Lynn Hadaway Associates, Inc.
PO Box 10
Milner, GA 30257
Website http://www.hadawayassociates.com
Office Phone 770-358-7861