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ACLS Wide Complex Tachycardia WITH Pulse

Advanced Cardiovascular Life Support7 CardsCreated 7 months ago

This deck covers the management of wide complex tachycardia with a pulse, including both stable and unstable cases, cardioversion techniques, and shock recommendations.

Report

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

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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Key Terms

Term
Definition
A patient presents with UNSTABLE wide complex tachycardia. What are the appropriate steps?
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 ...
A patient presents with STABLE wide complex tachycardia. What are the appropriate steps?
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...
Cardioversion is synchronized or unsynchronized for wide complex tachycardia with a pulse?
Synchronized
What is the underlying pathophysiology of unstable tachycardia that causes symptoms?
HR increased to the point that Cardiac Output is reduced
HR >___ are usually symptomatic and require cardioversion?
HR >150bpm
When are SYNCHRONIZED shocks recommended?
Unstable SVT; unstable atrial fibrillation; unstable atrial flutter; unstable regular monomorphic tachycardia with pulse

Related Flashcard Decks

TermDefinition
A patient presents with UNSTABLE wide complex tachycardia. What are the appropriate steps?
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
A patient presents with STABLE wide complex tachycardia. What are the appropriate steps?
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
Cardioversion is synchronized or unsynchronized for wide complex tachycardia with a pulse?
Synchronized
What is the underlying pathophysiology of unstable tachycardia that causes symptoms?
HR increased to the point that Cardiac Output is reduced
HR >___ are usually symptomatic and require cardioversion?
HR >150bpm
When are SYNCHRONIZED shocks recommended?
Unstable SVT; unstable atrial fibrillation; unstable atrial flutter; unstable regular monomorphic tachycardia with pulse
When are UNSYNCHRONIZED shocks recommended?
Pulseless V-tach or V-fib; patient demonstrating clinical deterioration; if you’re unsure if VT is monomorphic or polymorphic in the unstable patient