Wide Complex Tachycardia Stable

Monomorphic ventricular tachycardia or uncertain rhythm:

■ Amiodarone 150 mg IV given over 10 min repeated as needed to a max of 2.2 gram/24 hr.

■ Prepare for synchronized cardioversion.

Irregular

Recurrent polymorphic ventricular tachycardia:

■ Obtain expert medical guidance.

Torsade de Pointes:

■ Magnesium 1–2 gram over 5–60 min followed by an infusion.

Note: A-Fib/Flutter with WPW? Avoid adenosine, beta-blockers, Ca-channel blockers, and diltiazem.