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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
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