Wide Complex Tachycardia - Adult Algorithm
Call Kai
Learn
Practice Test
Spaced Repetition
Match
Flashcards
Knowt Play1/14
There's no tags or description
Looks like no tags are added yet.
Name | Mastery | Learn | Test | Matching | Spaced | Call with Kai | Chat |
|---|
No analytics yet
Send a link to your students to track their progress
15 Terms
What defines unstable/pre-arrest status in wide complex tachycardia?
No radial pulse but carotid is palpable, heart rate typically greater than 150 bpm with altered mental status
What should be done for wide-complex tachycardia with no carotid pulses?
Exit to the Ventricular Fibrillation/Pulseless Ventricular Tachycardia protocol
What is the initial synchronized cardioversion energy for unstable wide complex tachycardia?
200 Joules
What are the escalating cardioversion energies for wide complex tachycardia if repeat shocks are needed?
300 joules, then 360 joules
What sedation may be considered prior to cardioversion in wide complex tachycardia?
Ketamine 0.5 mg/kg IV/IO
What alternative sedation and maximum dose may be considered prior to cardioversion in wide complex tachycardia?
Fentanyl 1 mcg/kg IV/IO/IN, maximum 300 mcg
What is the midazolam option and maximum dose prior to cardioversion in wide complex tachycardia?
0.1 mg/kg IV/IO/IN, only if systolic BP greater than 90 mmHg, maximum 5 mg
What is the amiodarone dose for stable wide complex tachycardia?
150 mg over 10 minutes IV/IO
What systolic BP is required for amiodarone in wide complex tachycardia?
Greater than 90 mmHg
What systolic BP and heart rate are required for the second amiodarone dose in wide complex tachycardia?
SBP greater than 90 mmHg and HR greater than 60 bpm
What is the lidocaine dose as an alternative in wide complex tachycardia?
2% 1 mg/kg
What is the maximum number of lidocaine doses in wide complex tachycardia?
3 doses
How is the amiodarone infusion prepared for wide complex tachycardia administration?
Add 150 mg amiodarone to a 100 mL NS bag, attach a 10 gtt set, infuse at 3 drops every 2 seconds
What medications should be avoided in WPW presenting with wide complex tachycardia?
AV nodal blocking agents such as adenosine, digoxin, diltiazem, verapamil
What medication is considered instead in WPW presenting with wide complex tachycardia?
Amiodarone 150 mg IV over 10 minutes