-
Tachycardia, not sick, wide QRS
Amiodarone 150 mg IV over 10 min
-
Tachycardia, not sick, narrow QRS
- Vagal response first
- Adenosine 6mg rapid IV push with NSS flush
-
Bradycardia, not sick
Monitor and observe
-
Bradycardia, sick
- Atropine 0.5 mg bolus q 3-5 min, maximum 3 mg
- If atropine ineffective, try transcutaenous pacing
- If transcutaneous pacing isn't available, either dopamine 2-10 mg/kg/min OR epinephrine 2-10 mcg/min
-
What is the difference between epi and dopamine dosing in adult bradycardia?
Dopamine is WEIGHT BASED
-
What are the Hs?
- Hypovolemia
- Hypoxia
- Hydrogen ion (acidosis)
- Hypo/hyper kalemia
- Hypothermia
-
What are the Ts?
- Tension pneumo
- Tamponade, cardiac
- Toxins
- Thrombosis (pulmonary and coronary)
|
|
