Template:ACLS Narrow Regular Tachycardia

: Narrow Regular Tachycardia

• Sinus tachycardia
  • Treat underlying cause
• SVT
  • Vagal maneuvers (convert up to 25%)
  • Adenosine 6mg IVP
    • Can follow with 12mg if initially fails
    • If adenosine fails, initiate rate control with CCB or BB
      • 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 possible