Template:ACLS Wide Regular Tachycardia: Difference between revisions
(Created page with "===ACLS: Wide ''Regular'' Tachycardia=== *If pulseless: shock (unsynchronized 200J) **See Adult Pulseless Arrest *If unstable: shock (synchronized 100J) **Hypotension,...") |
|||
| Line 1: | Line 1: | ||
===[[ACLS]]: Wide ''Regular'' Tachycardia=== | ===[[ACLS]]: Wide ''Regular'' Tachycardia=== | ||
''Pulseless: see [[Adult pulseless arrest]]'' | |||
*'''Unstable''': shock (synchronized 100J) | |||
* | |||
**Hypotension, altered mental status, shock, ischemic chest discomfort, acute heart failure | **Hypotension, altered mental status, shock, ischemic chest discomfort, acute heart failure | ||
* | *'''Stable''': | ||
**Meds | **Meds | ||
***[[Procainamide]] | ***[[Procainamide]] | ||
Revision as of 10:52, 14 March 2018
ACLS: Wide Regular Tachycardia
Pulseless: see Adult pulseless arrest
- Unstable: shock (synchronized 100J)
- Hypotension, altered mental status, shock, ischemic chest discomfort, acute heart failure
- Stable:
- Meds
- Procainamide
- 20-50mg/min; then maintenance infusion of 1-4mg/min x6hr
- Treat until arrhythmia suppressed, QRS duration increases >50%, hypotension, Max 17mg/kg or 1 gram
- Avoid if prolonged QT or CHF
- Amiodarone
- 150mg over 10min (repeat as needed); then maintenance infusion of 1mg/min x6hr
- Adenosine
- May be considered for diagnosis and treatment only if rhythm is regular and monomorphic
- Procainamide
- Synchronized Cardioversion (100J)
- Meds