Template:ACLS Narrow Irregular Tachycardia

Narrow Irregular Tachycardia

• MAT
  • Treat underlying cause (hypoK, hypomag)
• Sinus Tachycardia with frequent PACs
• A fib / A Flutter with variable conduction (see also Atrial Fibrillation with RVR)
  • Rate control with:
    • Diltiazem
    • MTP (good in setting of ACS)
    • Amiodarone (good in setting of hypotension, CHF)
    • Digoxin (good in setting of CHF)
  • Synchronized Cardioversion (120-200 J)