Explain the difference between ventricular tachycardia with a pulse and pulseless VT on telemetry and the initial management steps.

Explain the difference between ventricular tachycardia with a pulse and pulseless VT on telemetry and the initial management steps.

• A. VT with a pulse is treated with defibrillation immediately.
• B. VT with a pulse is a monitored, stable rhythm; treat underlying cause; consider synchronized cardioversion if unstable.
• C. Pulseless VT does not require CPR.
• D. Both require only observation.

Answer: (B)