• Assess ABCs
• Secure airway
• Administer oxygen
• Start IV Attach monitor, pulse oximeter, and automatic B/P cuff
• Assess vital signs
• Review history
• Perform problem focused physical examination
• Order 12-lead ECG
• Amiodarone 150mg IVP over 10-20min. (May repeat 150mg IVP every 10 minutes). After bolus, start a slow infusion of 1mg/min for 6 hours then decrease to 0.5mg/min for 18 hours. Max cummulative dose of 2.2gm in 24 hours.
• Consider cardioversion if not converted with meds.
• Procainamide 20-30mg/min, maximum total 17 mg/kg for uncertain wide complex tachy or VT
• Adenosine and Verapamil are contraindicated for wide complex tachycardias.

To: ACLS Intravenous Medicated Infusions