Template:ACLS Narrow Regular Tachycardia: Difference between revisions
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**Synchronized [[cardioversion]] (50-100J) | **Synchronized [[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]] | |||
**Stable: Consider rate control to HR < 110 bpm | |||
**Unstable: Synchronized cardioversion; start at 50J | |||
Revision as of 18:27, 6 July 2020
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