VF and VT Mx - apgy99

[ArchivalUser]

Hi friends, can u explain me Mx for VF and VT?
please help!!

[ArchivalUser]

For VF and pulse less VT, early defibrillation is important. The energy requied may be 200-360 joules.
Once defibrillation has been attempted, epinephrine sould be given. It is repeated every 3 mins while CPR
is ongoing. After a repeated attempt at defibrillation, use of antiarrhythmics (amiodarone, lidocaine, and
magnesium) is warranted.

See ACLS guidelines for details but it is too complicated.

[ArchivalUser]

thanks googlover

so Mx of VT and VF are same?

u mention from uw concept, right?... but in kalpan different from uw..i confused..in kaplan dont mention about epinephrine..

why cant use antiarrythmics in repeated defibrillation?

can u also pls explain me about Cervical carcinoma screening according to age and staging?

[ArchivalUser]

Hi apgy--

epinephr also in the k notes. see pg 316 ACLS guidelines.

I guess I VF and VT mx is the same.

Let us review again from notes--

Mx of VF/VT
--------------
1. shock 300 joule
2. CPR
3. epinephr repeat every 3-5 min.....as many times required
4. after 5 cycles of shock-CPR-epinephr, give amiodarone or lidocaine and magnesium
5. after 5 cycles of CPR go back to shock--cpr--epinephr
Let me know if I am wrong

for cervical carcinoma screening, epi wrote a great post a few weeks back. THANKS EPI...



epi - 05/30/09 23:51

yep,it was confusing for me too but I think uw clarified kaplan notes which has given everything with out details

Further steps when

ASCUS noted on pap smear..
adolescents-- follow up with pap after 12 mo,if repeat pap turns positive again,colposcopy is indicated
non adolescent woman-- reflex hpv testing..if positive for oncogenic strains,colposcopy,if negative pap followup

LSIL or CIN 1 or mild dysplasia
adolescent-- repeat pap in 12 mo
premenopausal woman-- colposcopy
post menopausal woman-- hpv testing,if +ve for oncogenic strains,colposcopy

HSIL-- colposcopy

Further management depends on colposcopy findings.

Indications for cone biopsy:
1.+ve ECC
2.unsatisfactory/inadequate colposcopy
3.Descrepancy btw cytology and histology
4.Diagnosis of microinvasive ca cx

correct me if I'm wrong.. gOOd luCk for ur exam

[ArchivalUser]

hi guys,

Management of vfib and acute VT are the same as googlelover explained clearly

Regarding VT one additional point is

In c/o chronic recurrent VT's --
If there is no LV dysfn-- antiarrythmics are enough
If there is LV dysfn-- ICD's and antiarrythmics,if not controlled then catheter ablation of foci causing abnormal rhythm

GL