Template:ACLS Wide Irregular Tachycardia: Difference between revisions
Ostermayer (talk | contribs) (Prepared the page for translation) |
|||
| Line 1: | Line 1: | ||
===[[Wide complex tachycardia|Wide ''Irregular'' Tachycardia]]=== | <languages/> | ||
[[File:Torsades de Pointes (polymorphic VT).svg|thumb|Wide ''Irregular'' Tachycardia (consistent with [[Torsades De Pointes]]).]] | <translate> | ||
:''DO NOT use AV nodal blockers as they can precipitate [[V-Fib]]'' | |||
:''Pulseless: see [[Adult pulseless arrest]]'' | ===[[Special:MyLanguage/Wide complex tachycardia|Wide ''Irregular'' Tachycardia]]=== | ||
[[File:Torsades de Pointes (polymorphic VT).svg|thumb|Wide ''Irregular'' Tachycardia (consistent with [[Special:MyLanguage/Torsades De Pointes|Torsades De Pointes]]).]] | |||
:''DO NOT use AV nodal blockers as they can precipitate [[Special:MyLanguage/V-Fib|V-Fib]]'' | |||
:''Pulseless: see [[Special:MyLanguage/Adult pulseless arrest|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 | **[[Special:MyLanguage/Unsynchronized cardioversion|Unsynchronized cardioversion]] (defibrillation) 200J | ||
*'''Stable''': | *'''Stable''': | ||
*[[A fib]] with preexcitation | *[[Special:MyLanguage/A fib|A fib]] with preexcitation | ||
**1st line - Electric [[Cardioversion]] | **1st line - Electric [[Special:MyLanguage/Cardioversion|Cardioversion]] | ||
**2nd line - [[Procainamide]], [[amiodarone]], or [[sotalol]] | **2nd line - [[Special:MyLanguage/Procainamide|Procainamide]], [[Special:MyLanguage/amiodarone|amiodarone]], or [[Special:MyLanguage/sotalol|sotalol]] | ||
*[[A fib]] with aberrancy | *[[Special:MyLanguage/A fib|A fib]] with aberrancy | ||
*Polymorphic [[V-Tach]] / [[Torsades De Pointes]] | *Polymorphic [[Special:MyLanguage/V-Tach|V-Tach]] / [[Special:MyLanguage/Torsades De Pointes|Torsades De Pointes]] | ||
**Give IV [[MgSO4]] | **Give IV [[Special:MyLanguage/MgSO4|MgSO4]] | ||
**Emergent defibrillation (NOT synchronized) | **Emergent defibrillation (NOT synchronized) | ||
**Correct [[electrolyte abnormalities]] (esp [[hypoK]], [[hypoMg]]) | **Correct [[Special:MyLanguage/electrolyte abnormalities|electrolyte abnormalities]] (esp [[Special:MyLanguage/hypoK|hypoK]], [[Special:MyLanguage/hypoMg|hypoMg]]) | ||
**Stop [[prolonged QT]] meds | **Stop [[Special:MyLanguage/prolonged QT|prolonged QT]] meds | ||
</translate> | |||
Latest revision as of 02:02, 18 January 2026
Wide Irregular Tachycardia
.svg)
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
- 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