Tachycardia Narrow Complex Irregular
Scenario 1 Tachycardia -Palpitations
DX > 150 (<2 squares) QRS<.12
1 Concious
2 breathing oxygen
3 Pulse
4 BP >90
EKG
a-fib-03-with-RVR-300x39.jpg
Atrial Fibrillation with Rapid Ventricular Response
a-fib-02-with-RVR-300x69.jpg
Atrial Fibrillation with Rapid Ventricular Response
DX Narow Complex Irregular Tachycardia Stable
Rx Medication – Drug of choice Calcium channel blocker
Need to control rate control
Verapamil Slow IV push5mg over 5 minutes
Cardizam Diltiazam Drip 5-15mg/hr
or Cardizam (Diltiazem) .25mg per kg over 2-5 minutes
Scenario 2 Tachycardia -Distress
Tachy = > 150 (<2 squares) QRS<.12
1 Concious Obtunded Call a Code
2 Breathing oxygen
3 Pulse OK Tachy present
4 BP <90
EKG
a-fib-03-with-RVR-300x39.jpg
Atrial Fibrillation with Rapid Ventricular Response
DX Narrow Complex Afib with Rapid Ventricular Response – Unstable
RX Synchronised Cardioversion
Narrow Irregular 120-200 J
Location 3
Location 3
Location 3
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