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3 Cards in this Set

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1. Assess appropriateness for clinical condition.


Heart rate typically >=150/min if tachyarrhythmia..


2. Identify & treat underlying causes.


2a. Maintain patent airway; assist breathing as necessary.


2b. Oxygen, if hypoxemic.


2c. Cardiac monitor to identify rhythm: monitor B P & oximetry.

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.




4. Synchronized Cardioversion.


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

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.




7. I V access & 12 lead E K G if available.


7a. Vagal maneuvers.


7b. Adenosine (if regular).


7c. Beta blocker or calcium channel blocker.


7d. Consider expert consultation.