Patient's in VTACH/VIFB

VFIB: VIFB is when there is no measurable P waves, PRI, QRS, and heart rate. This is a shockable rhythm. It will look bizarre and irregular.

-------------------------------------------------------------------------------------

VTACH: VTACH is when there is a heart rate of 150-250. But, you can have TACH with and without a pulse. P waves will not be present, nor PRI. QRS complexes will be at least 0.12 seconds, but can be wider, and they will be bizarre. VTACH is also a shockable rhythm

Each of the rhythms above are shockable rhythms, if indicated. If you have a pt in VTACH without a pulse, you would shock. But, if you have a pt in VTACH with a pulse, you would cardiovert them.

Drugs Used To Treat VTACH/VFIB in ADULTS:

-Epi 1:10,000

     - 1mg IVP every 3-5 minutes

-Amiodarone

     - VTACH with Pulse

           - 150mg IV over 10 minutes

                 - Mix 150mg in a 500mL bag of D5W

     - VTACH w/o Pulse

           - 300mg IVP, then after 5 minutes

           - 150mg IVP

     - VFIB

           - 300mg IVP, then after 5 minutes

           - 150mg IVP

-Lidocaine

     - VTACH

           - 1.5 mg/kg IVP

           - 0.5-0.25 mg/kg IVP

     - VFIB

           - 1.5 mg/kg IVP

           - 0.5-0.25 mg/kg IVP

     - Post Conversion Drip

           - 2-4 mg/minute

-Mag Sulfate

     - Eclamptic Seizures

           - 1-2 grams

     - Torsades de Pointes

           - 2-4 grams

Drugs Used To Treat VTACH/VFIB in CHILDREN:

-Epi 1:10,000

     - 0.01 mg/kg IV every 3-5 minutes

-Amiodarone

     - VTACH with Pulse

           - 5 mg/kg IV over 20 minutes

     - VTACH w/o Pulse

           - 5 mg/kg IVP

     - VFIB

           - 5 mg/kg IVP

-Lidocaine

     - VTACH

           - 1 mg/kg

     - VFIB

           - 1 mg/kg

     - Post Conversion Drip

           - 20-50 mcg/kg/minute

-Mag Sulfate

     - Do Not Use