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    2010 Integrated Updated Circulation ACLS Tachycardia Algorithm

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    Ryggie Comelon
    This document provides an algorithm for treating adult tachycardia with a pulse. It outlines steps to identify the underlying cause, assess the stability of the patient, determine if the rhythm is regular or irregular, and provides recommended treatment options including medications, cardioversion, and consulting an expert.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    2010 Integrated Updated Circulation ACLS Tachycardia Algorithm

    Uploaded by

    Ryggie Comelon
    856 views1 page
    This document provides an algorithm for treating adult tachycardia with a pulse. It outlines steps to identify the underlying cause, assess the stability of the patient, determine if the rhythm is regular or irregular, and provides recommended treatment options including medications, cardioversion, and consulting an expert.

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    2010 Integrated Updated Circulation ACLS Tachycardia Algorithm

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    This document provides an algorithm for treating adult tachycardia with a pulse. It outlines steps to identify the underlying cause, assess the stability of the patient, determine if the rhythm is regular or irregular, and provides recommended treatment options including medications, cardioversion, and consulting an expert.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    856 views1 page

    2010 Integrated Updated Circulation ACLS Tachycardia Algorithm

    Uploaded by

    Ryggie Comelon
    This document provides an algorithm for treating adult tachycardia with a pulse. It outlines steps to identify the underlying cause, assess the stability of the patient, determine if the rhythm is regular or irregular, and provides recommended treatment options including medications, cardioversion, and consulting an expert.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Adult Tachycardia With a Pulse Algorithm

    Assess appropriateness for clinical condition. Doses/Details


    Heart rate typically 150/min if tachyarrhythmia.
    Synchronized cardioversion:
    Initial recommended doses:
    Narrow regular: 50-100 J
    2 Narrow irregular: 120-200 J
    biphasic or 200 J monophasic
    Identify and treat underlying cause Wide regular: 100 J
    Maintain patent airway; assist breathing as necessary Wide irregular: defibrillation
    Oxygen (if hypoxemic) dose (not synchronized)
    Cardiac
     monitor to identify rhythm; monitor blood Adenosine IV dose:
    pressure and oximetry First dose: 6 mg rapid IV push;
    follow with NS flush.
    Second dose: 12 mg if required.

    Antiarrhythmic Infusions for


    3 Stable Wide-QRS Tachycardia
    Persistent 4
    tachyarrhythmia causing: Procainamide IV dose:
    Hypotension? Synchronized cardioversion 20-50 mg/min until arrhythmia
    Yes Consider sedation
    Acutely altered mental status? suppressed, hypotension ensues,
    Signs of shock? If regular narrow complex, QRS duration increases >50%, or
    Ischemic chest discomfort? consider adenosine maximum dose 17 mg/kg given.
    Acute heart failure? Maintenance infusion: 1-4 mg/min.
    6 Avoid if prolonged QT or CHF.
    No Amiodarone IV dose:
    IV
     access and 12-lead ECG
    First dose: 150 mg over 10 minutes.
    5 if available
    Yes Repeat as needed if VT recurs.
    Wide QRS? Consider adenosine only if
    Follow by maintenance infusion of
    0.12 second regular and monomorphic
    1 mg/min for first 6 hours.
    Consider antiarrhythmic infusion
    Consider expert consultation Sotalol IV dose:
    No 100 mg (1.5 mg/kg) over 5 minutes.
    7 Avoid if prolonged QT.

    IV access and 12-lead ECG if available


    Vagal maneuvers
    Adenosine (if regular)
    -Blocker or calcium channel blocker
    Consider expert consultation
    2015 American Heart Association

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