What treatment is indicated for very wide complex tachycardia likely due to hyperkalemia?

The indicated treatment for very wide complex tachycardia that is likely due to hyperkalemia involves the administration of Calcium Chloride and Sodium Bicarbonate.

In cases of hyperkalemia, the elevated potassium levels can lead to cardiac dysrhythmias, including wide complex tachycardia. Calcium Chloride is crucial as it helps to stabilize the cardiac membrane, thereby reducing the potential for dangerous arrhythmias caused by high potassium levels. It essentially counters the effects of hyperkalemia on the heart muscle.

Sodium Bicarbonate serves a dual purpose in this scenario. While its primary role is to correct acidosis, its administration can also facilitate the intracellular shifting of potassium, thereby lowering the serum potassium levels and helping restore normal cardiac function. Therefore, this combination effectively addresses both the stabilization of the cardiac membrane and the management of elevated potassium levels.