How do you treat rapid irregular wide-complex tachycardia?
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How do you treat rapid irregular wide-complex tachycardia?
For a wide irregular rhythm use immediate defibrillation. Adenosine is given as a rapid IV push. First dose is 6 mg followed by a normal saline flush. If a second dose is required, give 12 mg IV rapid push.
How is ACLS ventricular tachycardia treated?
Stable patients with tachycardia with a palpable pulse can be treated with more conservative measures first.
- Attempt vagal maneuvers.
- If unsuccessful, administer adenosine 6 mg IV bolus followed by a rapid normal saline flush.
- If unsuccessful, administer adenosine 12 mg IV bolus followed by a rapid normal saline flush.
What is the recommended initial therapy for a patient with stable narrow complex tachycardia?
Adenosine is the primary drug used in the treatment of stable narrow-complex SVT (Supraventricular Tachycardia). Now, adenosine can also be used for regular monomorphic wide-complex tachycardia.
What medication is used for stable wide complex ventricular tachycardia?
A. Amiodarone would be the best long-term antiarrhythmic to suppress further arrhythmias such as this. B. For immediate treatment, intravenous (IV) esmolol is a reasonable option.
What is the protocol for pulseless ventricular tachycardia and ventricular fibrillation?
Medical treatment of pulseless VT usually is carried out along with defibrillation and includes intravenous vasopressors and antiarrhythmic drugs. 1 mg of epinephrine IV should be given every 3 to 5 minutes. Epinephrine can be replaced by vasopressin given 40 units IV once.
What is the drug of choice for ventricular arrhythmias?
Amiodarone (Cordarone, Pacerone, Nexterone) Amiodarone is the drug of choice for the treatment of hemodynamically unstable VT that is refractory to other antiarrhythmic agents. Prehospital studies currently suggest that amiodarone is safe and efficacious for use in out-of-hospital cardiac arrest.
When do you give amiodarone to ALS?
The first dose of adrenaline is given immediately after delivery of the third shock; amiodarone 300 mg may also be given after the third shock. Do not stop CPR to check the rhythm before giving drugs unless there are clear signs of ROSC.
Do you Cardiovert pulseless v tach?
Defibrillation or unsynchronized cardioversion is indicated in any patient with pulseless VT/VF or unstable polymorphic VT, where synchronized cardioversion is not possible. Synchronized cardioversion is utilized for the treatment of persistent unstable tachyarrhythmia in patients without loss of pulse.
How do you memorize ALS algorithm?
The best way to remember ACLS algorithms is by using the material you have studied in class to handle practical ACLS scenarios. It is advisable to use half of your study time to physically play out scenarios and go through the motions.
Why is ACLS so hard?
Reasons why nurses find the ACLS course difficult include: The EKG Interpretation portion of Advanced Cardiovascular Life Support. Testing for a class that is hardly utilized in a specific field. Having physicians teach the course.
Which beta blocker is best for arrhythmias?
Arrhythmias: bisoprolol and metoprolol succinate are often preferred. Beta-blockers are the first-line treatment for long-term symptomatic rate control in patients with a range of cardiac arrhythmias, including atrial fibrillation and ventricular tachycardia.
