Narrow Complex Tachycardia WITH Pulse

Question 1

A patient presents with STABLE narrow complex tachycardia with pulse. What are the appropriate steps?

Answer 1

1. LOC
2. Circulation
3. Airway - Open & Clear
4. Breathing - (need assistance?)
5. IV, O2, Monitors
6. VAGAL Maneuver
7. Adenosine 6-12-12mg
8. Verapamil 2.5-5mg IV
9. Diltiazem 15-20mg IV
10. Expert Consultation

Question 2

A patient presents with UNSTABLE narrow complex tachycardia with pulse. What are the appropriate steps?

Answer 2

1. LOC
2. Circulation
3. Airway - Open & Clear
4. Breathing - (need assistance?)
5. IV, O2, Monitors
6. CARDIOVERT (120-150-200)
7. Adenosine 6-12-12mg
8. Verapamil 2.5-5mg IV
9. Diltiazem 15-20mg IV
10. Expert Consultation

Question 3

Patients with what pre-existing condition should not receive adenosine?

Answer 3

Asthma