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Cardiac Rhythm Intrepretations
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Ventricular Tachycardia - Rapid

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VENTRICULAR TACHYCARDIA - RAPID is characterized usually by an unresponsive or extremely unstable patient. "P" waves are absent or may be buried in the QRS complex. The QRS complex is also widened and depending on the site pacing the dysrythmia(s) may also be very bizzare is shape (morphology).
 
This is a lethal arrythmia and the currently recommended treatment is immediate defibrillation if the patient is unresponsive. Defibrillate at 200 J (joules)  if using Biphasic power or 360 J if using monophasic devices.
 
If the patient is conscious, treatment may include syncronized cardioversion, use of antiarrythmic medications such as lidocaine, amiodarone or other agents. 

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