Template:ACLS Wide Irregular Tachycardia: Difference between revisions
| Line 3: | Line 3: | ||
:''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 ( | **[[Unsynchronized cardioversion]] (defibrillation) 200J | ||
*'''Stable''': | *'''Stable''': | ||
*#[[A fib]] with preexcitation | *#[[A fib]] with preexcitation | ||
Revision as of 11:02, 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