Supraventricular Tachycardia - Revision history

Mfrdmanager at 13:40, 13 November 2020

2020-11-13T13:40:20Z

Mfrdmanager: /* STABLE NARROW COMPLEX TACHYCARDIA: */

2018-03-21T21:06:33Z

‎STABLE NARROW COMPLEX TACHYCARDIA:

Mfrdmanager: /* STABLE NARROW COMPLEX TACHYCARDIA: */

2018-03-21T21:05:33Z

‎STABLE NARROW COMPLEX TACHYCARDIA:

Mfrdmanager: Protected "Supraventricular Tachycardia" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2018-02-10T14:03:48Z

Protected "Supraventricular Tachycardia" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "==Section 4 - CARDIAC 4.07== ====CONSIDER MEDICAL ETIOLOGY OF SVT AND REFER TO APPROPRIATE PRACTICE PARAMETER:==== * Heart failure, Acute Cardiogenic Pulmonary Edema Pneumon..."

2018-02-10T14:03:39Z

Created page with "==Section 4 - CARDIAC 4.07== ====CONSIDER MEDICAL ETIOLOGY OF SVT AND REFER TO APPROPRIATE PRACTICE PARAMETER:==== * Heart failure, Acute Cardiogenic Pulmonary Edema Pneumon..."

New page

==Section 4 - CARDIAC 4.07==
====CONSIDER MEDICAL ETIOLOGY OF SVT AND REFER TO APPROPRIATE PRACTICE PARAMETER:====
* Heart failure, [[Acute Cardiogenic Pulmonary Edema Pneumonia|PULMONARY EDEMA (4.11)]].
* Hypovolemia, [[Shock|SHOCK (5.13)]].
* Side-effects of other drugs, etc.

[[Initial Medical Assessment and Care|INITIAL MEDICAL CARE (2.01)]] - OXYGEN @ 100% via NRB mask.

====STABLE NARROW COMPLEX TACHYCARDIA:====
* Initiate large bore IV, preferably at antecubital fossae
* Administer [[Antiarrhythmics|ADENOSINE]] 6 mg RAPID IVP, administered at a port closest to the IV site, followed immediately by a rapid 10-20 ml saline flush
* If NO response in 2 minutes, [[Antiarrhythmics|ADENOSINE]] 12 mg RAPID IVP followed immediately by a rapid 10-20 ml saline flush (Maximum dose 18 mg)

====UNSTABLE:====
{| class="wikitable"
|-
! Definition of Unstable: Persistent Narrow Complex Tachyarrhythmia causing:
|-
|
*Hypotension or signs of decreased tissue perfusion
*Significant dyspnea or significant compromise of the airway
*Acute mental status change
*Signs/symptoms of shock
*Acute heart failure
*Ischemic chest discomfort
|}

* If IV established prior to patient becoming UNSTABLE, may administer [[Antiarrhythmics|ADENOSINE]]6 mg RAPID IVP. If unrelieved, consider sedation with [[Analgesia and Sedation|VERSED (2.04)]] if patient is conscious and proceed with below therapies.
** '''SYNCHRONIZED CARDIOVERSION'''
*** Initial recommended doses:
**** If narrow and regular complexes 50-100 Joules biphasic
**** If narrow and irregular complexes 120-200 Joules biphasic
**** If wide and regular complexes 100 Joules biphasic
**** If wide and irregular complexes – use defibrillation dose (not synchronized)

'''''Physician's Orders: If NO response, contact Medical Control for consult.'''''

[[Category:Cardiac|0407]]

@@ Line 9: / Line 9: @@
 ====STABLE NARROW COMPLEX TACHYCARDIA:====
 * Initiate large bore IV, preferably at antecubital fossae
-* Administer [[Antiarrhythmics|ADENOSINE]] 12 mg RAPID IVP, administered at a port closest to the IV site, followed immediately by a rapid 10-20 ml saline flush
+* Administer [[Adenosine|ADENOSINE]] 12 mg RAPID IVP, administered at a port closest to the IV site, followed immediately by a rapid 10-20 ml saline flush
-* If NO response in 2 minutes, [[Antiarrhythmics|ADENOSINE]] 12 mg RAPID IVP followed immediately by a rapid 10-20 ml saline flush (Maximum dose 24 mg)
+* If NO response in 2 minutes, [[Adenosine|ADENOSINE]] 12 mg RAPID IVP followed immediately by a rapid 10-20 ml saline flush (Maximum dose 24 mg)
 ====UNSTABLE:====
@@ Line 27: / Line 27: @@
-* If IV established prior to patient becoming UNSTABLE, may administer [[Antiarrhythmics|ADENOSINE]]6 mg RAPID IVP. If unrelieved, consider sedation with [[Analgesia and Sedation|VERSED (2.04)]] if patient is conscious and proceed with below therapies.
+* If IV established prior to patient becoming UNSTABLE, may administer [[Adenosine|ADENOSINE]] 12 mg RAPID IVP. If unrelieved, consider sedation with [[Analgesia and Sedation|VERSED (2.04)]] if patient is conscious and proceed with below therapies.
 ** '''SYNCHRONIZED CARDIOVERSION'''
 *** Initial recommended doses:

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