Wide Complex Tachycardia WITH Pulse Flashcards
1
Q
A patient presents with UNSTABLE wide complex tachycardia. What are the appropriate steps?
A
- LOC
- Circulation
- Airway - open and clear
- Breathing - (need assistance?)
- IV, O2, Monitors
- CARDIOVERT 120-150-200
- Procainamide - 20 mg/min
- Amiodarone - 150mg X 3 (Q3-5mins)
- Sotolol - 100mg
- Expert consultation
2
Q
A patient presents with STABLE wide complex tachycardia. What are the appropriate steps?
A
- LOC
- Circulation
- Airway - open and clear
- Breathing - (need assistance?)
- IV, O2, Monitors
- VAGAL MANEUVER
- Procainamide - 20 mg/min
- Amiodarone - 150mg X 3 (Q3-5mins)
- Sotolol - 100mg
- Expert consultation
3
Q
Cardioversion is synchronized or unsynchronized for wide complex tachycardia with a pulse?
A
Synchronized
4
Q
what is the underlying pathophysiology of unstable tachycardia that causes symptoms?
A
HR increased to the point that Cardiac Output is reduced
5
Q
HR >___ are usually symptomatic and require cardioversion?
A
HR >150bpm
6
Q
When are SYNCHRONIZED shocks recommended?
A
- unstable SVT
- unstable atrial fibrillation
- unstable atrial flutter
- unstable regular monomorphic tachycardia with pulse
7
Q
When are UNSYNCHRONIZED shocks recommended?
A
- pulseless V-tach or V-fib
- patient demonstrating clinical deterioration
- if you’re unsure if VT is monomorphic or polymorphic in the unstable patient