Tachycardia

Question 1

1 Question

Answer 1

STABLE OR UNSTABLE

Question 2

2 Question

Answer 2

Is the tachy wide or narrow?

Question 3

Narrow Tachycardia

Answer 3

= to 0.12 seconds

Likely arising from the AV node or above

Question 4

Wide Tachycardia

Answer 4

More than 0.12 seconds

Likely arising from below the AV node

Question 5

Narrow Complex tachy that is STABLE and regular

Answer 5

1. Vagal Maneuvers (Blow into straw)

2. Adenosine (Rapid IV flush followed by 20 ml bolus, ARM UP)

Question 6

Narrow Complex tachy that does not listen to adenosine

Answer 6

CCB

BB

Question 7

Wide Complex STABLE?

Answer 7

Consult cardiology and the 5 Drugs of Choice

Question 8

WC stable : BB are used for

Answer 8

1. Ischemic induced VT, VF
2. Torasde de pointes
3. Sustained or repetitive monomorphic VT

Question 9

WC stable : Amiodarone is used for

Answer 9

VF, all VT except

Not Torsade

Question 10

WC stable : Procainamide is used for

Answer 10

All VT except Torsade

Question 11

WC stable : Lidocaine

Answer 11

Ischemia induced VT, VF

Torsade

Question 12

WC stable : Sotalol

Answer 12

Repetitive Monomorphic VT

Question 13

What meds to avoid in prolonged QT?

Answer 13

Sotalol and Procainamide

Question 14

Tx for unstable narrow tachy?

Answer 14

CARDIOVERSION

Question 15

What to consider with cardioversion?

Answer 15

Sync and consider sedation

Question 16

Tx unstable wide complex?

Answer 16

Pulse or not?
Pulse - cardioversion
No Pulse - Defib 
No defib? In hallway? THUMP THAT CHEST 
But be careful cause cardiomegaly? burst that ventricle