Tachycardias – Wide Complex w/ pulse (Unstable)

C303

  • If rhythm is Torsades de Pointes- Mag Sulfate 1 gram
  • If patient is to be cardioverted and does not have an altered LOC, consider sedation- Versed 2-4 mg IV/IM until patient’s speech slurs or a total of 8 mg
  • Synchronized cardioversion at 100 joules (or biphasic equiv.)
  • If no change, repeat synchronized cardioversion at 200/300/360 (or biphasic equiv.)
  • Obtain 12-lead EKG after successful conversion
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