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    Adult Tachycardia With A Pulse Algorithm: Doses/Details

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    Alexis Hospital
    The document provides an algorithm for treating adult tachycardia with a pulse. It outlines steps to identify the underlying cause, assess the patient's condition, and determine appropriate treatment which may include synchronized cardioversion, antiarrhythmic drug infusions, or expert consultation depending on factors like heart rate, symptoms, and ECG findings.

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    © All Rights Reserved
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    Adult Tachycardia With A Pulse Algorithm: Doses/Details

    Uploaded by

    Alexis Hospital
    260 views1 page
    The document provides an algorithm for treating adult tachycardia with a pulse. It outlines steps to identify the underlying cause, assess the patient's condition, and determine appropriate treatment which may include synchronized cardioversion, antiarrhythmic drug infusions, or expert consultation depending on factors like heart rate, symptoms, and ECG findings.

    Original Description:

    ACLS Tachycardia Algorithm 2020

    Original Title

    AlgorithmACLS_Tachycardia

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    The document provides an algorithm for treating adult tachycardia with a pulse. It outlines steps to identify the underlying cause, assess the patient's condition, and determine appropriate treatment which may include synchronized cardioversion, antiarrhythmic drug infusions, or expert consultation depending on factors like heart rate, symptoms, and ECG findings.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    260 views1 page

    Adult Tachycardia With A Pulse Algorithm: Doses/Details

    Uploaded by

    Alexis Hospital
    The document provides an algorithm for treating adult tachycardia with a pulse. It outlines steps to identify the underlying cause, assess the patient's condition, and determine appropriate treatment which may include synchronized cardioversion, antiarrhythmic drug infusions, or expert consultation depending on factors like heart rate, symptoms, and ECG findings.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Adult Tachycardia With a Pulse Algorithm

    Assess appropriateness for clinical condition. Doses/Details


    Heart rate typically ≥150/min if tachyarrhythmia. Synchronized cardioversion:
    Refer to your specific device’s recommended energy level to
    maximize first shock success.
    Adenosine IV dose:
    First dose: 6 mg rapid IV push; follow with NS flush.
    Second dose: 12 mg if required.
    Identify and treat underlying cause Antiarrhythmic Infusions for Stable Wide-QRS Tachycardia
    • Maintain patent airway; assist breathing as necessary Procainamide IV dose:
    • Oxygen (if hypoxemic) 20-50 mg/min until arrhythmia suppressed, hypotension ensues,
    • Cardiac monitor to identify rhythm; monitor blood QRS duration increases >50%, or maximum dose 17 mg/kg given.
    pressure and oximetry Maintenance infusion: 1-4 mg/min. Avoid if prolonged QT or CHF.
    • IV access
    Amiodarone IV dose:
    • 12-lead ECG, if available
    First dose: 150 mg over 10 minutes. Repeat as needed if VT recurs.
    Follow by maintenance infusion of 1 mg/min for first 6 hours.
    Sotalol IV dose:
    100 mg (1.5 mg/kg) over 5 minutes. Avoid if prolonged QT.

    Persistent
    tachyarrhythmia causing:
    Synchronized cardioversion
    • Hypotension? Yes
    • Acutely altered mental status? • Consider sedation
    • Signs of shock? • If regular narrow complex, If refractory, consider
    • Ischemic chest discomfort? consider adenosine
    • Underlying cause
    • Acute heart failure?
    • Need to increase
    energy level for next
    No cardioversion
    • Addition of anti-
    Yes Consider arrhythmic drug
    Wide QRS?
    • Adenosine only if • Expert consultation
    ≥0.12 second
    regular and monomorphic
    • Antiarrhythmic infusion
    No • Expert consultation

    • Vagal maneuvers (if regular)


    • Adenosine (if regular)
    • β-Blocker or calcium channel blocker
    • Consider expert consultation
    © 2020 American Heart Association

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