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    VT Ventricular Tachy

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    madimadi11
    Ventricular tachycardia (VT) can be caused by congenital heart disease, cardiac surgery, poisoning, electrolyte imbalances, and long QT syndrome. Management of VT involves determining if the patient has a pulse and shocks. If the patient has a pulse, amiodarone is administered over 30 minutes. If the patient does not have a pulse, defibrillation shocks are given following the VF protocol. Synchronous shocks are attempted initially but asynchronous shocks may be needed if the defibrillator cannot detect the QRS complexes.

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    VT Ventricular Tachy

    Uploaded by

    madimadi11
    149 views1 page
    Ventricular tachycardia (VT) can be caused by congenital heart disease, cardiac surgery, poisoning, electrolyte imbalances, and long QT syndrome. Management of VT involves determining if the patient has a pulse and shocks. If the patient has a pulse, amiodarone is administered over 30 minutes. If the patient does not have a pulse, defibrillation shocks are given following the VF protocol. Synchronous shocks are attempted initially but asynchronous shocks may be needed if the defibrillator cannot detect the QRS complexes.

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    Ventricular tachycardia (VT) can be caused by congenital heart disease, cardiac surgery, poisoning, electrolyte imbalances, and long QT syndrome. Management of VT involves determining if the patient has a pulse and shocks. If the patient has a pulse, amiodarone is administered over 30 minutes. If the patient does not have a pulse, defibrillation shocks are given following the VF protocol. Synchronous shocks are attempted initially but asynchronous shocks may be needed if the defibrillator cannot detect the QRS complexes.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    149 views1 page

    VT Ventricular Tachy

    Uploaded by

    madimadi11
    Ventricular tachycardia (VT) can be caused by congenital heart disease, cardiac surgery, poisoning, electrolyte imbalances, and long QT syndrome. Management of VT involves determining if the patient has a pulse and shocks. If the patient has a pulse, amiodarone is administered over 30 minutes. If the patient does not have a pulse, defibrillation shocks are given following the VF protocol. Synchronous shocks are attempted initially but asynchronous shocks may be needed if the defibrillator cannot detect the QRS complexes.

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    of 1

    Birmingham Children’s Hospital ED Handbook Version 1 (2011)

    (1.7) VENTRICULAR TACHYCARDIA

    Torsade de pointes VT
    Congenital heart disease Polymorphic VT with QRS complexes
    Cardiac surgery which change in amplitude and polarity
    Poisoning (TCAs, procainamide, quinidine, cisapride + Seen in conditions characterised by a
    macrolide antibiotic, terfenadine + grapefruit juice) long QT interval (esp. in poisoning)
    +
    K (e.g. renal disease) Magnesium sulphate 25 – 50 mg/kg
    over 10 – 15 mins (max dose 2 g)
    Long QT syndrome

    MANAGEMENT OF VENTRICULAR TACHYCARDIA (VT)

    Pulse NO
    VF Protocol
    present?
    See guideline 1.4

    YES

    NO YES
    Shock
    present?

    Amiodarone 5 mg/kg * May be given over a few


    * mins in severe shock DC shock 1 J/kg
    over 30 mins

    Consider:
    DC shock 2 J/kg
    Synchronous DC shock
    (discuss with cardiology)

    Amiodarone

    Attempt synchronous DC shocks initially (less likely to produce VF than an asynchronous


    shock). However, as VT in children is usually fast with no recognisable QRS complexes, the
    defibrillator may fail to “see” the right time for shock delivery, in which case asynchronous
    shocks will be required.

    Check U&Es, Ca2+, Mg2+ and obtain a 12-lead ECG.

    Treat hypotension caused by drugs with volume expansion.

    Reference
    APLS The Practical Approach (5th Edition)

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