Question

You are transporting a 60 y/o female patient who was diagnosed with AMI. Minutes after transport began, your patient has a rhythm change which you identify as wide complex ventricular tachycardia. She is alert and oriented, and her color is pale. She denies dyspnea or chest pain. BP 100/58 P 140. Which would be an appropriate initial treatment of this patient?

Answer 1

The appropriate initial treatment for a patient with wide complex ventricular tachycardia is synchronized cardioversion.

Step-by-step explanation:

The appropriate initial treatment for a patient with wide complex ventricular tachycardia (VT) is synchronized cardioversion.

In this case, the patient is alert and oriented, but her color is pale. She denies dyspnea or chest pain. Her blood pressure is 100/58 mmHg with a heart rate of 140 beats per minute.

Synchronized cardioversion involves delivering an electrical shock to the heart in a synchronized manner to restore a normal rhythm. This treatment is necessary in order to prevent the VT from degenerating into ventricular fibrillation, a life-threatening rhythm.

It is important to note that synchronized cardioversion should only be performed by trained healthcare professionals.