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What is the difference between stable and unstable v-tach
- stable= pulse
- nonstable=pulseless
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Is patient has stable v-tach what can we do
- elective cardioversion(put pt out)
- PO oral antidysrhythmic- Mexitil, sotalol(Betapace, Sotacor)
- O2
- amidarone, lidocaine, or MS(magnesium sulfate)
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with unstable/pulseless v-tach what do we do
- CALL CODE(before ANYTHING)
- CPR and ACLS
- treat like v-fib
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What can cause v-tach
- ischemia
- MI
- cardiomyopathy
- hypokalemia
- hypomagnesemia
- valvular heart disease
- HF
- drug toxicity
- hypotension
- ventricular aneurysm
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In some pt v-tach causes caridac arrest. We should monitor for
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If pt has a pulse we do NOT need
electicity
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