Adult Resus - Wide Complex Tachycardia

Question 1

Wide complex adult tachycardia are divided into what types?

Answer 1

Stable vs. unstable

Question 2

What is considered “unstable” in regard to adult wide complex tachycardia?

Answer 2

Hypotension, AMS, shock, acute heart failure, ischemic chest pain

Question 3

What is the loading dose of amiodarone for adult, unstable, wide complex tachycardia?

Answer 3

150 mg amiodarone/10 minutes

Question 4

What is the maintenance dose of amiodarone for adult, unstable, wide complex tachycardia? What determines use of maintenance dose?

Answer 4

1 mg/min; in order to use maintenance dose, the loading dose MUST have converted the tachycardia

Question 5

What is the Tx for “unstable” in adult wide complex tachycardia?

Answer 5

Synchronized cardioversion: 100J , 120J, 150J, 200J (stepwise)

Question 6

What is the sedation medication for “unstable” in adult wide complex tachycardia cardioversion?

Answer 6

Versed 0.05 mg/kg IV/IO/IN;

Ketamine 1 mg/kg IV/IO/IN