Question

Patient with wide complex tachycardia: Initial management:

a) Vagal maneuvers
b) Adenosine
c) Synchronized cardioversion
d) Amiodarone

Persistent/symptomatic/unstable:
a) Synchronized cardioversion
b) Amiodarone
c) Electrical defibrillation
d) Procainamide

Answer 1

The initial management for wide complex tachycardia includes vagal maneuvers and adenosine. If the condition persists or the patient is symptomatic/unstable, synchronized cardioversion is performed. If that fails, amiodarone or electrical defibrillation may be used.

Step-by-step explanation:

The initial management for a patient with wide complex tachycardia includes vagal maneuvers and the use of adenosine. If the patient is persistent/symptomatic/unstable, the next step is synchronized cardioversion. If synchronized cardioversion fails or is contraindicated, amiodarone can be considered. For those who do not respond to synchronized cardioversion or amiodarone, electrical defibrillation or procainamide may be used.