Template:ACLS Wide Irregular Tachycardia: Difference between revisions

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===[[ACLS]]: Wide ''Irregular'' Tachycardia===
<languages/>
''DO NOT use AV nodal blockers as they can precipitate [[V-Fib]]''
<translate>
#[[A fib]] with preexcitation
 
#*1st line - Electric [[Cardioversion]]
===[[Special:MyLanguage/Wide complex tachycardia|Wide ''Irregular'' Tachycardia]]===
#*2nd line - [[Procainamide]], [[amiodarone]], or [[sotalol]]
 
#[[A fib]] with aberrancy
[[File:Torsades de Pointes (polymorphic VT).svg|thumb|Wide ''Irregular'' Tachycardia (consistent with [[Special:MyLanguage/Torsades De Pointes|Torsades De Pointes]]).]]
#Polymorphic [[V-Tach]] / [[Torsades De Pointes]]
:''DO NOT use AV nodal blockers as they can precipitate [[Special:MyLanguage/V-Fib|V-Fib]]''
#*Give IV [[MgSO4]]
:''Pulseless: see [[Special:MyLanguage/Adult pulseless arrest|Adult pulseless arrest]]''
#*Emergent defibrillation (NOT synchronized)
*'''Unstable''': Hypotension, altered mental status, shock, ischemic chest discomfort, acute heart failure
#*Correct [[electrolyte abnormalities]] (esp [[hypoK]], [[hypoMg]])
**[[Special:MyLanguage/Unsynchronized cardioversion|Unsynchronized cardioversion]] (defibrillation) 200J
#*Stop [[prolonged QT]] meds
*'''Stable''':
*[[Special:MyLanguage/A fib|A fib]] with preexcitation
**1st line - Electric [[Special:MyLanguage/Cardioversion|Cardioversion]]
**2nd line - [[Special:MyLanguage/Procainamide|Procainamide]], [[Special:MyLanguage/amiodarone|amiodarone]], or [[Special:MyLanguage/sotalol|sotalol]]
*[[Special:MyLanguage/A fib|A fib]] with aberrancy
*Polymorphic [[Special:MyLanguage/V-Tach|V-Tach]] / [[Special:MyLanguage/Torsades De Pointes|Torsades De Pointes]]
**Give IV [[Special:MyLanguage/MgSO4|MgSO4]]
**Emergent defibrillation (NOT synchronized)
**Correct [[Special:MyLanguage/electrolyte abnormalities|electrolyte abnormalities]] (esp [[Special:MyLanguage/hypoK|hypoK]], [[Special:MyLanguage/hypoMg|hypoMg]])
**Stop [[Special:MyLanguage/prolonged QT|prolonged QT]] meds
</translate>

Latest revision as of 02:02, 18 January 2026


Wide Irregular Tachycardia

Wide Irregular Tachycardia (consistent with Torsades De Pointes).
DO NOT use AV nodal blockers as they can precipitate V-Fib
Pulseless: see Adult pulseless arrest
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