Wide Complex Tachycardia

Question 1

In the case of wide complex tachycardias, ____ should be administered if dehydration is suspected.

Answer 1

20 mL/kg NS bolus

Question 2

____ is an option for regular, monomorphic, wide complex tachycardia. Why?

Answer 2

Adenosine.

Rhythms arising above the AV node with subsequent abberrant conduction may present as wide complex tachycardias. Therefore, they would still be SVTs.

Question 3

First does of adenosine.

Answer 3

6 mg rapid IVP

Question 4

Second dose of adenosine.

Answer 4

12 mg rapid IVP

Question 5

Stable, continued wide complex tachycardia may require what medication after adenosine?

Answer 5

150 mg of amiodarone over 10 minutes

Question 6

Unstable wide complex tachycardia requires (chemical/electrical) cardioversion.

Answer 6

electrical

Question 7

Synchronized cardioversion doses.

Answer 7

100 J
200 J
300 J
360 J

Question 8

Prior to electrical cardioversion, ___ may be administered for sedation.

Answer 8

2 mg IV/IO/IN midazolam