Template:ACLS Wide Irregular Tachycardia: Difference between revisions
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===[[ACLS]]: Wide ''Irregular'' Tachycardia=== | ===[[ACLS]]: Wide ''Irregular'' Tachycardia=== | ||
''DO NOT use AV nodal blockers as they can precipitate [[V-Fib]]'' | :''DO NOT use AV nodal blockers as they can precipitate [[V-Fib]]'' | ||
''Pulseless: see [[Adult pulseless arrest]]'' | :''Pulseless: see [[Adult pulseless arrest]]'' | ||
*'''Unstable''': Hypotension, altered mental status, shock, ischemic chest discomfort, acute heart failure | *'''Unstable''': Hypotension, altered mental status, shock, ischemic chest discomfort, acute heart failure | ||
**[[ | **Unsynchronized cardioversion ([[defibrillation]]) 200J | ||
*'''Stable''': | *'''Stable''': | ||
*#[[A fib]] with preexcitation | *#[[A fib]] with preexcitation | ||
Revision as of 10:59, 14 March 2018
ACLS: Wide Irregular Tachycardia
- DO NOT use AV nodal blockers as they can precipitate V-Fib
- Pulseless: see Adult pulseless arrest
- Unstable: Hypotension, altered mental status, shock, ischemic chest discomfort, acute heart failure
- Unsynchronized cardioversion (defibrillation) 200J
- Stable:
- A fib with preexcitation
- 1st line - Electric Cardioversion
- 2nd line - Procainamide, amiodarone, or sotalol
- A fib with aberrancy
- Polymorphic V-Tach / Torsades De Pointes
- Give IV MgSO4
- Emergent defibrillation (NOT synchronized)
- Correct electrolyte abnormalities (esp hypoK, hypoMg)
- Stop prolonged QT meds
- A fib with preexcitation