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1/5/14

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.

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