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Flashcards in Tachy with a Pulse Deck (11)
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1
Q

Clinical picture + HR over …

A

150bpm

2
Q

tachy and unstable? (CP, hypotension, AMS, shock, HF)

A

Synchronized cardioversion OR

adenosine (if narrow and regular)

3
Q

Joules if QRS is: narrow/regular

A

50-100J

4
Q

Joules if QRS is: narrow/irregular

A

120-200J biphasic or 200J monophasic

5
Q

Joules if QRS is wide/regular

A

100J

6
Q

Joules if QRS is wide/irregular

A

Defibrillation (UNSYNCHRONIZED: 120-200J biphasic or 360J monophasic)

7
Q

Tachy and stable –> worry about

A

Is the QRS wide?

8
Q

Tachy, stable, wide QRS

A

IV, EKG
adenosine (if regular/monomorphic)
antiarrhythmic infusion
consult expert

9
Q

Tachy, stable, wide QRS… how much adenosine?

A

6mg rapid push (1st dose) –> 12mg rapid push (2nd dose)

10
Q

Antiarrhythmic infusions for tachy, stable, wide QRS

A

Procainamide: 20-50 mg/min until better or becomes unstable (avoid if long QT or CHF)
Amiodarone: 150mg over 10 min –> 1mg/min for next 6 hrs
Sotalol: 100 mg over 5 min (avoid if long QT)

11
Q

Tachy, stable, narrow QRS …

A
IV, EKG
Vagal maneuvers
Adenosine (if reg)
BB or CCB
Consult cardio