Adult Resus - Narrow Complex Tachycardia - 2025/4/17 Protocol Update

Question 1

Unstable adult tachycardia is defined as one causing _____.

Answer 1

AMS, hypotension, acute heart failure, or signs of shock.

Question 2

If an adult presents with stable, narrow complex tachycardia, consider ____ first.

Answer 2

vagal maneuvers

Question 3

If an adult presents with stable, narrow complex tachycardia, if vagal maneuvers are unsuccessful, what is attempted next?

Answer 3

IV/IO adenosine:

- 12 mg rapid IVP x2

Question 4

If an adult presents with stable, narrow complex tachycardia, if adenosine is unsuccessful, what is attempted next?

Answer 4

Cardizem, 12.5-25 mg slow IVP/IO

Question 5

You are presented with an irregular, unstable, narrow complex tachycardia in an adult. Where do you begin sync cardioversion?

Answer 5

120 J
150 J
200 J

Question 6

You are presented with a regular, unstable, narrow complex tachycardia in an adult. Where do you begin sync cardioversion?

Answer 6

100 J
120 J
150 J
200 J