Question

How should monophasic V-tach with pulse be treated in an unstable patient?

1) Administer synchronized cardioversion
2) Administer antiarrhythmic medication
3) Perform electrical defibrillation
4) Refer the patient to a cardiac specialist

Answer 1

In an unstable patient with monophasic V-tach with pulse, 1) synchronized cardioversion is the treatment of choice.

Step-by-step explanation:

In an unstable patient with monophasic V-tach with a pulse, the treatment of choice would be synchronized cardioversion, which is the delivery of a controlled electric shock to the heart to restore a normal rhythm. This is different from electrical defibrillation, which is used in patients without a pulse. Antiarrhythmic medications may be used to prevent recurrence of the arrhythmia, but in an unstable patient, synchronized cardioversion is the first-line treatment.