Page 107 - Critical Care Notes
P. 107

4223_Tab02_045-106  29/08/14  10:00 AM  Page 101





                                101                    Ventricular Tachycardia (VT)
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                              pulse, no BP .



                         Rhythm: Usually regular.
                           Ventricular rate: 100–250 bpm.
                        QRS: Wide & bizarre, >0.10 sec.








                            Atrial rate: Unable to determine; no P waves; no PR interval.
                                 Three or more PVCs together with the same shape and amplitude.





                     synchronized cardioversion; pulseless VT is treated the same as VF. Consider AICD.





                      Management: Epinephrine or vasopressin, amiodarone, procainamide, lidocaine, sotalol, immediate
                                Unstable rhythm. Easily progresses to VF if VT sustained and untreated. Patient may or may not have a
                  CV
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