What is the maximum total dose of Amiodarone that can be administered in Puseless Vtach?

The maximum total dose of Amiodarone that can be administered for pulseless ventricular tachycardia (Vtach) is 300 mg during the initial resuscitation efforts. In this context, up to 300 mg can be given as a rapid IV push, typically administered as 150 mg followed by a second dose of 150 mg if the rhythm persists after the initial dose. However, for ongoing therapy or in specific protocols, cumulative dosing may occur.

The selected answer indicates a misunderstanding, as 450 mg is not the guideline-recommended maximum total dose for pulseless Vtach. The standard approach after administering the initial bolus is to consider other advanced life support (ALS) interventions. The confusion in dosing requirements for Amiodarone can stem from its use in stable Vtach cases or other cardiac scenarios, where cumulative doses may be higher, but this does not apply to pulseless ventricular tachycardia. Thus, while Amiodarone is indeed a critical medication in cardiac arrest scenarios, the accepted maximum for a pulseless Vtach situation is notably 300 mg.