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PVC

  • Underlying cause

    • MI, CAD, CHF, hypokalemia, alkalosis, hypoxia, epinephrine, albuterol
  • Labs

    • BMP, enzymes
  • Treatment

    • Tx as Vtach if 3 PVCs in a row
      • amiodarone 150 mg IV over 10 min, repeat x 13 max.
      • if unstable, do synchronized cardioversion
      • if pulseless, defib.
    • if unstable: lidocaine 1-1.5 mg/kg IV
    • no tx if stable
  • ROS

    • chest pain
    • dyspnea
    • diaphoresis
    • paralysis
    • nausea, vomiting, diarrhea
    • epinephrine, albuterol
  • EKG

    • premature beat with wide QRS

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.