Final answer:
The energy setting to begin cardioversion in the protocol for wide complex tachycardia in adults varies depending on the situation and patient's condition. It is important to consult the specific protocol or guidelines for the recommended energy setting.
Step-by-step explanation:
In a protocol for cardioversion of wide complex tachycardia in adults, the energy setting to begin with depends on the specific situation and the patient's condition. The energy setting is usually expressed in joules (J). However, I cannot provide a specific energy setting without knowing the details of the protocol being referred to in the question.
Wide complex tachycardia refers to a heart rhythm with a widened QRS complex on an electrocardiogram. Cardioversion is a procedure that uses a controlled electric shock to restore a normal heartbeat. The energy setting for cardioversion may vary depending on factors such as the stability of the patient, the underlying cause of the tachycardia, and the presence of any complications.
It is important to consult the specific protocol or guidelines being followed by healthcare professionals for the recommended initial energy setting in cardioversion of wide complex tachycardia in adults.