Ventricular Tachycardia - Ventricular Rhythms.

Description

• The morphologic features continue with the dysrhythmia. No P wave, wide and bizarre QRS.
• Ventricular Tachycardia occurs when the rate exceeds 100 bpm.
• Approximately 50% of patients become unconscious at the onset of ventricular tachycardia.
• Although patients in V Tach may be treated with a defibrillator, not all patients in Ventricular Tachycardia require this level of treatment.
• Depending upon their level of consciousness and blood pressure. The patient may be treated with medications, synchronized cardioversion or in the worst case scenario a defibrillator and BLS/ACLS response.
• This rhythm must always be reported whether the patient appears stable or not. (Follow your local reporting and treatment protocols)

Practice Strip

Analyze this tracing using the five steps of rhythm analysis.

Show Answer

• Rhythm: Regular
• Rate: 150
• P Wave: absent
• PR interval: n/a
• QRS: Wide and bizarre
• Interpretation: Ventricular Tachycardia