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ACLS Tachycardia Algorithm

Advanced Cardiac Life Support Algorithms based on the AHA 2005 Guidelines
by

Clinton Pong

on 3 February 2013

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Transcript of ACLS Tachycardia Algorithm

Tachycardia BLS Algorithm
IV, O2, monitor Ddx: PATCH(4) MDs PE
Acid
TN PTX
CTamp
HypoV
HypoK
HyperK
Hypoglycemia
MI
Drugs (ABCD)
Shivering Pulmonary Embolism
Acidosis
Tension pneumothorax
Cardiac tamponade
Hypovolemia
Hypokalemia
Hyperkalemia
Hypoglycemia
Myocardial Infarction
Drugs (ABCD)
-Antidepressant (TCA)
-Beta Blocker
-Calcium Channel Blocker
-Digoxin
Shivering Status? Stable Unstable AMS
CP
hypoTN Synchronized
Cardioversion QRS? Regular? Irregular? " Yes 1-2-3,
SVT -> VAC" Stable?
Narrow?
Regular? Narrow? Wide? Irregular? Regular? Vagal maneuvers
Adenosine
Consider Cardizem 6mg IVP, then
12mg IVP x2 prn Afib?
Aflutter?
MAT? VTach?
Uncertain? SVT w/ aberrancy? Afib w/ aberrancy? Preexcited Afib (AF+WPW)? Torsades de pointes? AVOID AV nodal blocking agents
(Adenosine, Digoxin, Diltiazem, Verapamil) Amiodarone
Elective sync cardioverion 150mg IV/10 min
repeat prn to 2.2g/24 hr max Give Adenosine Rate control
(Diltiazem, BB) Tx as Irreg Narrow complex tachy Give Magnesium 1-2g/5-60min, then infuse
Full transcript