Adult Tachycardia Flashcards Preview

Sac Metro Protocols > Adult Tachycardia > Flashcards

Flashcards in Adult Tachycardia Deck (20):
0

Adult Tachycardia - Criteria to make this protocol

Narrow QRS HR >150
Wide QRS HR >120

1

Adult Tachycardia - Initial
-ECG
IV Ns at _________ rate titrate to SBP __________
Monitor pulse ox, with advanced airway adjunct as needed

TKO
90-100

2

Adult Tachycardia - Unstable Criteria

SBP <90 **AND**
Hypoperfusion, decreased sensorium, diaphoresis, chest pain, capillary refill greater than 2 seconds, cool extremities, or cyanosis.

3

Adult Tachycardia - Not Unstable 1st step

12 lead to determine wide or narrow

4

Adult Tachycardia - Not unstable post 12 lead- Wide QRS now what

Transport

5

Adult Tachycardia - Post 12 lead - Narrow QRS - Now what do we need to know _____

Irregular or regular

6

Adult Tachycardia - Post 12 lead - Narrow QRS - Irregular Afib or A flutter or MAT

Transport

7

Adult Tachycardia - Post 12 lead - Narrow QRS- Regular......What now

perform Valsalva
Adenosine 6mg rapid IVP followed by 20ml NS

no response after 2 min

Adenosine 12 mg IVP followed by 20ml NS rapid IV flush.

8

Adult Tachycardia Unstable - Versed Doses

IV/IO 1-6mg slow IVP. Titrate to pt comfort ....or

IM/IN 2mg dose, may repeat X2 @ 5min

9

Adult Tachycardia Unstable - Synchronized cardioversion
-Energy
-Repeat

100,200,360
Check rhythm after each shock

10

Adult Tachycardia Unstable -Post cardioversion
-What do you check

Rhythm wide or narrow

11

Adult Tachycardia Unstable -post cardioversion- Wide - now what do you have to decide _____

Stable or unstable

12

Adult Tachycardia Unstable -post cardioversion - Wide - Unstable

Amiodarone 150mg IVP/IO
Synchronized cardioverison
-max energy dose

13

Adult Tachycardia Unstable -post cardioversion - wide QRS - stable
Now what _____

Amiodarone 150mg IV/IO over 10 min

14

Adult Tachycardia Unstable -post cardioversion - Narrow- Now what

stable or unstable

15

Adult Tachycardia Unstable -post cardioversion - narrow - unstable
what do you do ____

Synchronized cardioversion
-max energy dose.

16

Adult Tachycardia Unstable -post cardioversion - narrow QRS- Stable Now what

Transport

17

Adult Tachycardia - If unstable tachycardia returns after transiently converting (rather than persists without ever converting) _________________

Repeat energy level that was previously successful for cardioverison.

18

6 H's

Hypovolemia
hypoxia
hydrogen ion
hypokalemia
hypoglycemia
hypothermia

19

6 T's

Tamponade
thrombosis
Tension pneumothorax
trauma
toxins