1-adult-tachycardia_2015.pdf
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2 Establish and Treat Possible Causes Adenosine 6 mg rapid IV push, follow with NS flush 2nd Dose: 12 mg Adult Tachycardia (with Pulse) © ACLS Certification Institute www.aclscertification.com | 1-800-448-2078 Fast, Convenient and 100% Online ACLS Training and Certification Earn Your ACLS in 1-2 Hours. Certify or Recertify Today! certification institute www.aclscertification.com ACLS Secure patient airway, assist with respirations as needed Administer oxygen if hypoxic Attach cardiac monitor, monitor BP and SPO2 1 Identify Tachycardia (Heart rate >150) Synchronized Cardioversion Starting Doses: Antiarrhythmic Infusions (Stable Wide-Complex) Amiodarone: 150 mg over 10 min Repeat as necessary if VT recurs Procainamide: 20-50 mg/min until arrhythmia is suppressed, hypotension ensues, QRS duration increases >50%, or maximum dose of 17 mg/kg is reached Sotalol: 100 mg (1.5 mg/kg) over 5 min _ 3 Hypotension? Shock? Ischemic Chest Pain? AMS? Heart Failure? 4 QRS Wide? (> 0.12 sec) No 5 Immediate Synchronized Cardioversion Yes If regular narrow complex, consider Adenosine _ 6 Establish vascular access Run 12-Lead ECG if possible Consider adenosine only if monomorphic and regular Consider antiarrhythmic infusion Seek expert consult 7 Establish vascular access Run 12-Lead ECG if possible Consider vagal maneuvers Adenosine (if regular rhythm) Administer -Blocker or Calcium Channel Blocker Seek expert consult No Yes Narrow regular: 50-100 J Narrow irregular: 120-200 J biphasic or 200 J monophasic Wide regular: 100 J Wide irregular: defibrillation dose (Not synchronized)
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Transcript of 1-adult-tachycardia_2015.pdf
2Establish and TreatPossible CausesAdenosine 6 mg rapid IV push, follow with NS flush 2nd Dose: 12 mgAdult Tachycardia (with Pulse) ACLS Certification Institutewww.aclscertification.com | 1-800-448-2078Fast, Convenient and 100% Online ACLS Training and CertificationEarn Your ACLS in 1-2 Hours. Certify or Recertify Today! certifcation institutewww.aclscertifcation.comACLSSecure patient airway, assist with respirationsas neededAdminister oxygen if hypoxicAttach cardiac monitor, monitor BP and SPO21Identify Tachycardia(Heart rate >150)Synchronized CardioversionStarting Doses:Antiarrhythmic Infusions(Stable Wide-Complex)Amiodarone: 150 mg over 10 min Repeat as necessary if VT recursProcainamide: 20-50 mg/min until arrhythmia is suppressed, hypotension ensues, QRS duration increases >50%, or maximum dose of 17 mg/kg is reachedSotalol: 100 mg (1.5 mg/kg) over 5 min_3Hypotension?Shock?Ischemic Chest Pain?AMS?Heart Failure?4QRS Wide?(> 0.12 sec)No5Immediate SynchronizedCardioversionYesIf regular narrow complex,consider Adenosine_6 Establish vascular accessRun 12-Lead ECG if possibleConsider adenosine only ifmonomorphic and regularConsider antiarrhythmic infusionSeek expert consult7 Establish vascular accessRun 12-Lead ECG if possibleConsider vagal maneuversAdenosine (if regular rhythm)Administer-Blocker orCalcium Channel BlockerSeek expert consultNoYesNarrow regular: 50-100 JNarrow irregular: 120-200 J biphasic or200 J monophasicWide regular: 100 JWide irregular: defibrillation dose(Not synchronized)
