Wide Complex Tachycardia WITH Pulse Flashcards

1
Q

A patient presents with UNSTABLE wide complex tachycardia. What are the appropriate steps?

A
  1. LOC
  2. Circulation
  3. Airway - open and clear
  4. Breathing - (need assistance?)
  5. IV, O2, Monitors
  6. CARDIOVERT 120-150-200
  7. Procainamide - 20 mg/min
  8. Amiodarone - 150mg X 3 (Q3-5mins)
  9. Sotolol - 100mg
  10. Expert consultation
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2
Q

A patient presents with STABLE wide complex tachycardia. What are the appropriate steps?

A
  1. LOC
  2. Circulation
  3. Airway - open and clear
  4. Breathing - (need assistance?)
  5. IV, O2, Monitors
  6. VAGAL MANEUVER
  7. Procainamide - 20 mg/min
  8. Amiodarone - 150mg X 3 (Q3-5mins)
  9. Sotolol - 100mg
  10. Expert consultation
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3
Q

Cardioversion is synchronized or unsynchronized for wide complex tachycardia with a pulse?

A

Synchronized

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4
Q

what is the underlying pathophysiology of unstable tachycardia that causes symptoms?

A

HR increased to the point that Cardiac Output is reduced

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5
Q

HR >___ are usually symptomatic and require cardioversion?

A

HR >150bpm

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6
Q

When are SYNCHRONIZED shocks recommended?

A
  • unstable SVT
  • unstable atrial fibrillation
  • unstable atrial flutter
  • unstable regular monomorphic tachycardia with pulse
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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
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