What is the drug of choice for a stable client with ventricular tachycardia?

Amiodarone is the drug of choice for the treatment of hemodynamically unstable VT that is refractory to other antiarrhythmic agents.

What is the best treatment for ventricular tachycardia?

Treatment for sustained ventricular tachycardia Treatment involves restoring a normal heart rate by delivering a jolt of electricity to the heart. This may be done using a defibrillator or with a treatment called cardioversion.

What is the gold standard treatment for pulseless ventricular tachycardia and ventricular fibrillation?

Medical treatment of pulseless VT usually is carried out along with defibrillation and includes intravenous vasopressors and antiarrhythmic drugs. 1 mg of epinephrine IV should be given every 3 to 5 minutes. Epinephrine can be replaced by vasopressin given 40 units IV once.

What is the first line treatment for ventricular tachycardia?

Anti-arrhythmic medications are the first-line therapy in emergency departments and CCUs, as discussed earlier. Amiodarone is most commonly used, along with lidocaine, and in some cases procainamide.

What medicine helps arrhythmia?

Antiarrhythmic drugs

• amiodarone (Cordarone, Pacerone)
• flecainide (Tambocor)
• ibutilide (Corvert), which can only be given through IV.
• lidocaine (Xylocaine), which can only be given through IV.
• procainamide (Procan, Procanbid)
• propafenone (Rythmol)
• quinidine (many brand names)
• tocainide (Tonocarid)

How do you treat unstable ventricular tachycardia?

Unstable patients with monomorphic VT should be immediately treated with synchronized direct current (DC) cardioversion, usually at a starting energy dose of 100 J (monophasic; comparable biphasic recommendations are not currently available). Unstable polymorphic VT is treated with immediate defibrillation.

What is the drug of choice for ventricular fibrillation?

If the patient remains in ventricular fibrillation, pharmacological treatment should begin. Epinephrine is the first drug given and may be repeated every 3 to 5 minutes. If epinephrine is not effective, the next medication in the algorithm is amiodarone 300 mg.

Can magnesium help with ventricular tachycardia?

Intravenous application of magnesium was suggested for the management of persistent ventricular tachycardia. In patients with torsade de pointes tachycardia the injection of magnesium controlled the life threatening arrhythmias reliably, thus magnesium became the treatment of choice in this setting.

What is the drug of choice for treating ventricular fibrillation or pulseless ventricular tachycardia?

IV amiodarone is the drug of choice. Vasopressors can include epinephrine 1 mg IV given every 3-5 minutes or, in lieu of epinephrine, vasopressin 40 units IV as a 1-time dose.

What are the emergency medical treatments for ventricular fibrillation?

Emergency treatment for ventricular fibrillation includes: Cardiopulmonary resuscitation (CPR). CPR mimics the pumping motion of the heart and keeps blood flowing through the body. First call 911 or your local emergency number.

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