Scribd
Upload
248 views18 pages

Tachycardia and Bradycardia Management Guide

The document provides guidance on diagnosing and treating various types of cardiac arrhythmias and bradycardias. It lists different arrhythmias and their characteristics, and recommends treatment approaches based on factors like stability, heart rate, and the presence of a pulse or wide QRS complex. The treatment options range from medications and electrical cardioversion or pacing to addressing underlying causes and correcting electrolyte imbalances.

Uploaded by

Zega Agustian
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
248 views18 pages

Tachycardia and Bradycardia Management Guide

The document provides guidance on diagnosing and treating various types of cardiac arrhythmias and bradycardias. It lists different arrhythmias and their characteristics, and recommends treatment approaches based on factors like stability, heart rate, and the presence of a pulse or wide QRS complex. The treatment options range from medications and electrical cardioversion or pacing to addressing underlying causes and correcting electrolyte imbalances.

Uploaded by

Zega Agustian
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

AVNRT : atrioventricular non re-entry tachycardia

AVRT : atrioventricular re-entry tachycardia Tachycardia with pulse


AF : atrial fibrilation Cardioversi sync
AFL : atrial flutter
ATAC : atrial tachycardia
(rarely needed for HR 150
NPJT : non paroxysmal junctional tachycardia Unstable or
MAT : multivocal atrial tachycardia
VT : ventricular tachycardia
Defibrilation for PMVT
Unstable = hypotension, shock
WCT : wide complex tachycardia Chest pain, heart failure
WPW : wolf Parkinson white
PMVT : polymorphic ventricular tachycardia
Stable
IV access, O2, Monitor BP & rhythm, 12 lead ECG

Narrow complex QRS (<120 msec) Wide complex QRS (120 msec)

Regular Irregular Regular Irregular

Vagal maneuvers AF, AFL or MAT VT or WCT AF w/ abberancy


Control rate w/ diltiazem Try adenosine Control rate w/ diltiazem or metoprolol
Adenosine Or metoprolol
No respone then : AF + WPW
Converts Does not Procainamide or Amio, proc or ibutilide
converts Amiodarone or
Sotalol or PMVT (normal QT)
Likely AVNRT or AVRT
Lidocaine Treat ischemia, amio or lidocaine & prepare
Recurrence Adenosine
& prepare for sync cardioversion For defibrillation
Or Possibly AFL, ATAC, NPJT
long acting AV nodal Control rate w/ diltiazem or Torsades ( QT)
Agents (diltiazem or Metoprolol Correct electrolyte & other precip
metoprolol
Mg 2 g IV
Overdrive pacing or isopreterenol
Bradycardia with pulse

Airway, IV access, O2, Monitor BP & rhythm, 12 lead ECG

Hypotension, shock, chest pain, Unstable No Observe


Heart failure

Yes
AVB Type II / Type III,
Proceed to pacing ASAP Atropine 0.5 mg IV 3 5 min, max 3 mg

Transvenous pacing or
Dopamine 2 10 mcg/kg/min, or
Epinephrine 2 10 mcg/min, or
Isoproterenol 2 10 mcg/min

Transvenous pacing

You might also like