01-26-2014, 08:12 PM
ecg..5 - my250
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01-26-2014, 10:22 PM
Dx- V.tach
Tx- look for the cause i.e. electrolyte abnormality and correct it. if (-) Pulse- Defibrilation if (+) pilse and stable- Amiodarone ---->Lidocaine----> procainamide if (+) pulse and unstable- Synchonised cardioversion ??
01-27-2014, 02:24 AM
Dx
Monomorphic V.tach QRS complexes are wide and all match each other Red Arrows: fusion beats-capture of electrical signal through both the atrium and ventricle briefly-->a hybrid of a normal and wide QRS complexes(P waves precede fusion complex) Tx: depends on the pt's symptoms and hemodynamic status Pts who are hemodynamically UNSTABLE: Electrical cardiovesion STABLE pts do not need urgent and synchronized Cardioversion ANTIARRHYTMICS like Amiodarone, Lidocaine, Procainamide are given first Thank you |
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