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Pacing

80/Brady milli amps


Increase milli amps until pacer spikes are in between the P wave and QRS complex.


To obtain mechanical capture check the femoral pulse to see if it equals monitor. Once you get electrical and mechanical capture increase by 2 milli amps. While pacing you can administer 2 MG of versed.

Tachycardic Rhythms

Vtach (wide complex) sinus tach (narrow complex).


Is it primary or secondary cause?


Is it stable or unstable to determine that use CASSH. If patient has the CASSH the get the joules.


Synchronized cardioversion

Shocks on the R wave


50-100j to start then 200, 300, 360j


If patient is stable administer adenosine 6mg then 12mg rapid iv push followed by a 20 ml flush.


Adenosine half life is 6 seconds