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3 Cards in this Set
- Front
- Back
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1. Assess appropriateness for clinical condition. Heart rate typically >=150/min if tachyarrhythmia.. |
2a. Maintain patent airway; assist breathing as necessary. 2b. Oxygen, if hypoxemic. 2c. Cardiac monitor to identify rhythm: monitor B P & oximetry. |
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3. Persistent tachycardia causing: 3a. Hypotension? 3b. Acutely altered mental status? 3c. Signs of shock? 3d. Ischemic chest discomfort? 3e. Acute heart failure? Yes 4, No 5. |
4a. Consider sedation. 4b. If regular narrow complex, consider Adenosine first dose 6mg rapid I V push & flush. 5. Wide Q R S? >=0.12 seconds? Yes 6, No 7 |
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6. I V access & 12 lead E K G if available. 6a. Consider Adenosine only if regular & monomorphic. 6b. Consider antiarrhythmic infusion (Procainamide, Amiodarone, Sotalol. 6c. Consider expert consultation. |
7a. Vagal maneuvers. 7b. Adenosine (if regular). 7c. Beta blocker or calcium channel blocker. 7d. Consider expert consultation. |
