What is the first treatment for V tach?
VT associated with loss of consciousness or hypotension is a medical emergency necessitating immediate cardioversion. In a normal-sized adult, this is typically accomplished with a 100- to 200-J biphasic cardioversion shock administered according to standard Advanced cardiovascular life support (ACLS) protocols.
How do you treat runs of V tach?
Treatment for ventricular tachycardia may include medication, a shock to the heart (cardioversion), catheter procedures or surgery to slow the fast heart rate and reset the heart rhythm.
Can you give adenosine for Vtach?
Adenosine is safe and effective for differentiating wide-complex supraventricular tachycardia from ventricular tachycardia.
Do you give EPI for V tach?
Currently, the ACLS protocol for v fib and pulseless v tach recommends that epinephrine be given after the second defibrillation.
Can you give adenosine for V-tach?
Do you give atropine for ventricular tachycardia?
Atropine is the drug of choice for management of patients with SB and hypotension and is effective in the treatment of ventricular arrhythmias as well as conduction disturbances in patients with inferior myocardial infarction.
Why is adenosine given to V tach?
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. When given as a rapid IV bolus, adenosine slows cardiac conduction particularly affecting conduction through the AV node.
When do you give atropine vs epinephrine?
Epinephrine provides a greater amount of hemodynamic support. Patients dying with bradycardia aren’t truly dying from bradycardia itself, but rather from cardiogenic shock (low cardiac output). Atropine offers these patients an increased heart rate, nothing more.
Why is epinephrine used for Vtach?
The theoretical benefit of vasopressor medicines, such as epinephrine and vasopressin, is that they increase coronary perfusion pressure. Coronary perfusion pressure is the difference between aortic and right atrial pressure during the relaxation phase of CPR, and it determines myocardial blood flow.
When do you use atropine vs epinephrine?
When do you use adenosine vs amiodarone?
Note that amiodarone becomes the antiarrhythmic of choice (after failure of adenosine) if the patient’s cardiac function is impaired and the ejection fraction is <40% or there are signs of congestive heart failure.