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13 Cards in this Set

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What are the criteria for utilizing the Supraventricular Tachycardia (SVT) protocol?
Ventricular Rate > 150 bpm.
Narrow QRS complex of sinus or atrial origin.
What is the first action for treating a non-hypotensive SVT patient after managing the airway and establishing an IV.
Have the patient perform a Valsalva Maneuver.
For an SVT patient not in A-Fib or A-Flutter with a BP > 90, what is the medication administration routine?
6.0 mg Adenosine IV FAST followed by a 20 ml NaCl bolus.

After 1 minute, 12.0 mg Adenosine IV FAST followed by a 20 ml NaCl bolus.

After another minute, 12.0 mg Adenosine IV FAST followed by a 20 ml NaCl bolus.
For SVT patients, is Adenosine administered Fast of Slow
Fast.
For an SVT patient in A-Fib or A-Flutter with a BP > 90, what is the medication administration routine?
0.25 mg/kg Cardizen IV SLOW up to 25 mg.

If no change in rate after 15 to 20 minutes, admininster 0.35 mg/kg Cardizem IV SLOW (no maximum dose).
In the SVT Protocol, over how long (in minutes) should the administration of Cardizem be administered?
3 minutes.
What is the maximum total dosage of Adenosine given to an SVT patient?
30 mg.
How long do you wait between administering doses of Adenosine in the SVT protocol?
1 minute.
How long do you wait between administering doses of Cardizem in the SVT protocol?
15 to 20 minutes.
What are the steps to following if an SVT patient is symptomatic with bpm > 150 and a narrow QRS complex?
Contact Med Control.
If the patient is conscious, administer 5 to 10 mg Valium IV Slow titrating to induce amnesia.
Perform a Synchronized Cardiversion.
What symptoms would indicate that an SVT patient is symptomatic?
Decreased LOC
Chest Pain
Pulmonary Edema
Hypotension (systolic BP < 90 mm/Hg
What drug will reverse the adverse effects of Valium administration in an SVT patient? What dose and route?
0.1 to 0.2 mg Romazicon IV.
What must the systolic BP be in order to administer Adenosine or Cardizem for an SVT patient?
Systolic BP must be greater than or 90 mm/Hg.