How do you treat v tach in ACLS?

How do you treat v tach in ACLS?

Apply defibrillator pads (or paddles) and shock the patient with 120-200 Joules on a biphasic defibrillator or 360 Joules using a monophasic. Continue High Quality CPR for 2 minutes (while others are attempting to establish IV or IO access).

What drug is used for ACLS Tachycardia?

Adenosine is given as a rapid IV push. First dose is 6 mg followed by a normal saline flush. If a second dose is required, give 12 mg IV rapid push.

What is the priority drug intervention for ventricular tachycardia with a pulse?

Shock administration should be followed by immediate chest compressions, airway management with supplemental oxygen, and vascular access with administration of vasopressors. In cases of shock-resistant pulseless VT, the use of antiarrhythmic medications may be considered. IV amiodarone is the drug of choice.

Do you defibrillate v tach with a pulse?

Under current resuscitation guidelines symptomatic ventricular tachycardia (VT) with a palpable pulse is treated with synchronised cardioversion to avoid inducing ventricular fibrillation (VF), whilst pulseless VT is treated as VF with rapid administration of full defibrillation energy unsynchronised shocks.

What is symptomatic tachycardia?

Tachycardia heartbeat In tachycardia, an abnormal electrical impulse starting in the upper or lower chambers of the heart causes the heart to beat faster. Tachycardia is the medical term for a heart rate over 100 beats per minute.

What are the two main ACLS medications used for ventricular fibrillation and pulseless ventricular tachycardia?

A vasopressor is a medication that produces vasoconstriction and a rise in blood pressure. The vasopressor that is used for the treatment of VF/Pulseless VT is epinephrine. Epinephrine is primarily used for its vasoconstrictive effects.

How do you give amiodarone to ventricular tachycardia?

First dose: Give 300 mg (6 mL) IV direct UNDILUTED. A filter is not required for IV direct administration. Second dose: If patient remains in pulseless ventricular tachycardia or ventricular fibrillation 5 minutes after the first dose, give a second dose of amiodarone 150 mg (3 mL).

Is amiodarone used for VF?

Amiodarone has been shown to be effective for both the termination of ongoing ventricular arrhythmia, as well as for the prevention of recurrence of ventricular tachycardia/ventricular fibrillation (VT/VF) during electrical storm or after the arrhythmia has subsided.