Cardiovascular Medicine Book

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Ventricular Tachycardia Management in the Child

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  1. See Also
    1. Guidelines 2000 CPR and Emergency Cardiovascular Care
  2. Approach
    1. No pulse
      1. Treat as Pulseless Ventricular Tachycardia
    2. Unstable
      1. Treat as Unstable Ventricular Tachycardia
      2. Administer Synchronized Cardioversion
    3. Stable
      1. Treat per protocol below
  3. Stable Ventricular Tachycardia Management
    1. Sedation and analgesia if no delay
    2. Administer Synchronized Cardioversion 0.5-1.0 Joules/kg
    3. Amiodarone 5 mg/kg IV over 20 to 60 minutes
    4. Procainamide 15 mg/kg IV over 30 to 60 minutes
    5. Lidocaine 1 mg/kg IV bolus
    6. Consult pediatric cardiology
  4. References
    1. (2000) Circulation, 102(Suppl I):86-9
    2. http://www.circulationaha.org

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