Template:ACLS Wide Regular Tachycardia: Difference between revisions

Revision as of 10:55, 14 March 2018

Unstable: Hypotension, altered mental status, shock, ischemic chest discomfort, acute heart failure
- Synchronized cardioversion 100-200J
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
- Synchronized Cardioversion (100J)

@@ Line 1: / Line 1: @@
 ===[[ACLS]]: Wide ''Regular'' Tachycardia===
 ''Pulseless: see [[Adult pulseless arrest]]''
-*'''Unstable''': shock (synchronized 100J)
+*'''Unstable''': Hypotension, altered mental status, shock, ischemic chest discomfort, acute heart failure
-**Hypotension, altered mental status, shock, ischemic chest discomfort, acute heart failure
+**[[Synchronized cardioversion]] 100-200J
 *'''Stable''':
 **Meds