Template:ACLS Narrow Regular Tachycardia: Difference between revisions
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===[[Narrow complex tachycardia|Narrow ''Regular'' Tachycardia]]=== | <languages/> | ||
*[[Sinus tachycardia]] | <translate> | ||
===[[Special:MyLanguage/Narrow complex tachycardia|Narrow ''Regular'' Tachycardia]]=== | |||
*[[Special:MyLanguage/Sinus tachycardia|Sinus tachycardia]] | |||
**Treat underlying cause | **Treat underlying cause | ||
*[[SVT]] | *[[Special:MyLanguage/SVT|SVT]] | ||
**[[Vagal maneuvers]] (convert up to 25%) | **[[Special:MyLanguage/Vagal maneuvers|Vagal maneuvers]] (convert up to 25%) | ||
**[[Adenosine]] 6mg rapid IV push if patient hemodynamically stable (unstable should proceed directly to electrical cardioversion) | **[[Special:MyLanguage/Adenosine|Adenosine]] 6mg rapid IV push if patient hemodynamically stable (unstable should proceed directly to electrical cardioversion) | ||
***Can follow with repeat dose of 6 mg or 12mg if initially fails | ***Can follow with repeat dose of 6 mg or 12mg if initially fails | ||
***If [[adenosine]] fails, initiate rate control with calcium channel blocker or beta blocker or use synchronized cardioversion | ***If [[Special:MyLanguage/adenosine|adenosine]] fails, initiate rate control with calcium channel blocker or beta blocker or use synchronized cardioversion | ||
****[[Diltiazem]] 15-20mg IV, followed by infusion of 5-15mg/hr | ****[[Special:MyLanguage/Diltiazem|Diltiazem]] 15-20mg IV, followed by infusion of 5-15mg/hr | ||
****[[Metoprolol]] 5mg IVP x 3 followed by 50mg PO | ****[[Special:MyLanguage/Metoprolol|Metoprolol]] 5mg IVP x 3 followed by 50mg PO | ||
**Synchronized [[cardioversion]] (50-100J) | **Synchronized [[Special:MyLanguage/cardioversion|cardioversion]] (50-100J) | ||
***Provide sedation prior to synchronized cardioversion if patient is hemodynamically stable | ***Provide sedation prior to synchronized cardioversion if patient is hemodynamically stable | ||
*[[Atrial flutter]] | *[[Special:MyLanguage/Atrial flutter|Atrial flutter]] | ||
**Stable: Consider rate control to HR < 110 bpm | **Stable: Consider rate control to HR < 110 bpm | ||
**Unstable: Synchronized [[cardioversion]]; start at 50J | **Unstable: Synchronized [[Special:MyLanguage/cardioversion|cardioversion]]; start at 50J | ||
</translate> | |||
Latest revision as of 02:01, 18 January 2026
Narrow Regular Tachycardia
- Sinus tachycardia
- Treat underlying cause
- SVT
- Vagal maneuvers (convert up to 25%)
- Adenosine 6mg rapid IV push if patient hemodynamically stable (unstable should proceed directly to electrical cardioversion)
- Can follow with repeat dose of 6 mg or 12mg if initially fails
- If adenosine fails, initiate rate control with calcium channel blocker or beta blocker or use synchronized cardioversion
- Diltiazem 15-20mg IV, followed by infusion of 5-15mg/hr
- Metoprolol 5mg IVP x 3 followed by 50mg PO
- Synchronized cardioversion (50-100J)
- Provide sedation prior to synchronized cardioversion if patient is hemodynamically stable
- Atrial flutter
- Stable: Consider rate control to HR < 110 bpm
- Unstable: Synchronized cardioversion; start at 50J