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This just got serious! Dx - pulseless ventricular tachycardia
Treatment plan is 2 phase with the first phase focusing on establishing a normal rhythm:
1. Breakout defibrillation paddles
2. Administer lidocaine IV bolus
3. Administer digoxin IV bolus
4. Administer sodium bicarb IV bolus
Second phase is determine the proximal cause for tachycardia.
Obtain angiogram
obtain transesophageal echocardiogram
balloon angioplasty to resolve infarct.
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Honor Above All Else
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