Template:ACLS Wide Irregular Tachycardia: Difference between revisions
 
(8 intermediate revisions by 2 users not shown)
Line 1: Line 1:
===[[ACLS]]: Wide ''Irregular'' Tachycardia===
===[[Wide complex tachycardia|Wide ''Irregular'' Tachycardia]]===
''DO NOT use AV nodal blockers as they can precipitate [[V-Fib]]''
[[File:Torsades de Pointes (polymorphic VT).svg|thumb|Wide ''Irregular'' Tachycardia (consistent with [[Torsades De Pointes]]).]]
''Pulseless: see [[Adult pulseless arrest]]''
:''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
*'''Unstable''': Hypotension, altered mental status, shock, ischemic chest discomfort, acute heart failure
**[[Synchronized cardioversion]] 100-200J
**[[Unsynchronized cardioversion]] (defibrillation) 200J
#[[A fib]] with preexcitation
*'''Stable''':
#*1st line - Electric [[Cardioversion]]
*[[A fib]] with preexcitation
#*2nd line - [[Procainamide]], [[amiodarone]], or [[sotalol]]
**1st line - Electric [[Cardioversion]]
#[[A fib]] with aberrancy
**2nd line - [[Procainamide]], [[amiodarone]], or [[sotalol]]
#Polymorphic [[V-Tach]] / [[Torsades De Pointes]]
*[[A fib]] with aberrancy
#*Give IV [[MgSO4]]
*Polymorphic [[V-Tach]] / [[Torsades De Pointes]]
#*Emergent defibrillation (NOT synchronized)
**Give IV [[MgSO4]]
#*Correct [[electrolyte abnormalities]] (esp [[hypoK]], [[hypoMg]])
**Emergent defibrillation (NOT synchronized)
#*Stop [[prolonged QT]] meds
**Correct [[electrolyte abnormalities]] (esp [[hypoK]], [[hypoMg]])
**Stop [[prolonged QT]] meds

Latest revision as of 16:52, 30 July 2025

Wide Irregular Tachycardia

Wide Irregular Tachycardia (consistent with Torsades De Pointes).
DO NOT use AV nodal blockers as they can precipitate V-Fib
Pulseless: see Adult pulseless arrest
Retrieved from "https://www.wikem.org/w/index.php?title=Template:ACLS_Wide_Irregular_Tachycardia&oldid=377221"