V-Tach or Wide Complex Tachycardia with Pulse
BASE HOSPITAL ORDER:
For pediatric cardioversion and drug therapy
AICD firing > 2 times within 15 min.
Assure airway is open and without foreign body obstruction:
►High flow oxygen by mask as tolerated, assist ventilation with BVM as necessary.
Patients with stable ventricular tachycardia may present as syncope, weakness, chest pain, shortness of breath, or light-headedness.
Stable ventricular tachycardia (blood pressure present with minimal chest discomfort, alert and oriented, and minimal shortness of breath):
►Is best transported without cardioversion or pharmacologic treatment.
For unstable ventricular tachycardia:
Use cardioversion before drug therapy.
►See Synchronized Cardioversion Procedure
Documentation of cardioversion attempts should include amount of Joules administered.
***See Synchronized Cardioversion in Procedures Section***