1st assessment and treatment.
Tx> ABC vital.
Shockable? = shock -> main thing to save life.
with Amiodarone IVP 150mg -> Lidocaine -> gtt as well.
(on holding po meds. like sotalol for now...)
Non shockable? = resuscitation with Epi.
Dx> EKG, telemetry(how fast HR? how many times? ICD or external?)
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Cause> electrolytes?, troponin?(EKG?).
medical history?(Afib, VT, whichever rhythm)
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S> Sx. of CP, SOB, Palpitation prior or after. any feeling?
Did you feel shock or syncopized?
O> Vital
P/Ex - HF?
EKG
Telemetry - in details? mono vs poly
AP>
Risk of poly? then give Mg 2g IV
2nd escalate to CICU
with other AAD ? EP fellow ? EP attending involvement.
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