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13 Cards in this Set
- Front
- Back
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What are the criteria for utilizing the Supraventricular Tachycardia (SVT) protocol?
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Ventricular Rate > 150 bpm.
Narrow QRS complex of sinus or atrial origin. |
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What is the first action for treating a non-hypotensive SVT patient after managing the airway and establishing an IV.
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Have the patient perform a Valsalva Maneuver.
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For an SVT patient not in A-Fib or A-Flutter with a BP > 90, what is the medication administration routine?
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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. |
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For SVT patients, is Adenosine administered Fast of Slow
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Fast.
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For an SVT patient in A-Fib or A-Flutter with a BP > 90, what is the medication administration routine?
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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). |
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In the SVT Protocol, over how long (in minutes) should the administration of Cardizem be administered?
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3 minutes.
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What is the maximum total dosage of Adenosine given to an SVT patient?
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30 mg.
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How long do you wait between administering doses of Adenosine in the SVT protocol?
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1 minute.
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How long do you wait between administering doses of Cardizem in the SVT protocol?
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15 to 20 minutes.
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What are the steps to following if an SVT patient is symptomatic with bpm > 150 and a narrow QRS complex?
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Contact Med Control.
If the patient is conscious, administer 5 to 10 mg Valium IV Slow titrating to induce amnesia. Perform a Synchronized Cardiversion. |
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What symptoms would indicate that an SVT patient is symptomatic?
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Decreased LOC
Chest Pain Pulmonary Edema Hypotension (systolic BP < 90 mm/Hg |
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What drug will reverse the adverse effects of Valium administration in an SVT patient? What dose and route?
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0.1 to 0.2 mg Romazicon IV.
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What must the systolic BP be in order to administer Adenosine or Cardizem for an SVT patient?
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Systolic BP must be greater than or 90 mm/Hg.
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