Ventricular Tachycardia
Protocols
Clinical Features:
- 1)palpitations
- 2)Dizziness.
- 3)Lightheadedness.
- 4)Chest pain.
- 5)Neck tightness.
- 6)Shortness of breath.
- 7)Fainting.
- 8)Cardiac arrest.
investigation :
ECG—1)Wide, Bizarre QRS complex,2)absence P & T wave([post id="337" title="ECG-Details"]
Rx:
- Bed rest
- Diet: Soft & Liquid
- O2 inhallation High flow
Inj. 2% Z-Lidocaine(50ml)...3-5 ml I/V - stat over 1min
After 5-10 min if not controlled
💉Inj. 2% Z-lidocaine(50ml)..3-5 ml I/V - stat over 1 min
If Controlled then maintain
💉Inj. 2% Z-Lidocaine (50ml)..2 vial + inf 5% DA (400ml) I/V@ 8 d/min - 24hours
💊Tab.Amiodarone Hydrochloride(Cardiron) (200mg)
1+1+1
If no improvement: DC Shock:
- Referred to Higher Center
Discharge From Hospital:
1. Tab.Carvedilol(Carvista)(6.25mg)
- 1/2+0+1/2......continue
2.Tab.Amiodarone Hydrochloride(Cardiron)(200mg)
- 1+1+1......7 days
then
- 1+০+1.......7 days
Then
- 1+০+০.....continue
3.Tab.[post id="474" title="Clonazepam"](Rivo/Epitra)(0.5mg)
- 0+0+1....15 days
4.Tab.[post id="393" title="Pantoprazole"](Pantonix)(20mg)
1+০+1.......10 days