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    Adult Tachycardia Algorithm: (With Pulse)

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    ITSimply
    The document outlines guidelines from the Resuscitation Council (UK) for treating adult tachycardia. It recommends using the ABCDE approach and monitoring ECG, BP, and oxygen levels. For unstable patients or those with shock or heart failure, it recommends up to 3 attempts of synchronized DC shock followed by amiodarone. For stable patients with a narrow QRS complex, it suggests trying vagal maneuvers or adenosine before considering amiodarone or seeking expert help. For irregular or broad complex rhythms, it provides treatment options depending on the identified arrhythmia.

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    Adult Tachycardia Algorithm: (With Pulse)

    Uploaded by

    ITSimply
    13 views1 page
    The document outlines guidelines from the Resuscitation Council (UK) for treating adult tachycardia. It recommends using the ABCDE approach and monitoring ECG, BP, and oxygen levels. For unstable patients or those with shock or heart failure, it recommends up to 3 attempts of synchronized DC shock followed by amiodarone. For stable patients with a narrow QRS complex, it suggests trying vagal maneuvers or adenosine before considering amiodarone or seeking expert help. For irregular or broad complex rhythms, it provides treatment options depending on the identified arrhythmia.

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    The document outlines guidelines from the Resuscitation Council (UK) for treating adult tachycardia. It recommends using the ABCDE approach and monitoring ECG, BP, and oxygen levels. For unstable patients or those with shock or heart failure, it recommends up to 3 attempts of synchronized DC shock followed by amiodarone. For stable patients with a narrow QRS complex, it suggests trying vagal maneuvers or adenosine before considering amiodarone or seeking expert help. For irregular or broad complex rhythms, it provides treatment options depending on the identified arrhythmia.

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    Download as PDF, TXT or read online from Scribd
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    13 views1 page

    Adult Tachycardia Algorithm: (With Pulse)

    Uploaded by

    ITSimply
    The document outlines guidelines from the Resuscitation Council (UK) for treating adult tachycardia. It recommends using the ABCDE approach and monitoring ECG, BP, and oxygen levels. For unstable patients or those with shock or heart failure, it recommends up to 3 attempts of synchronized DC shock followed by amiodarone. For stable patients with a narrow QRS complex, it suggests trying vagal maneuvers or adenosine before considering amiodarone or seeking expert help. For irregular or broad complex rhythms, it provides treatment options depending on the identified arrhythmia.

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    of 1

    2010

    Resuscitation
    Guidelines
    Amiodarone

    Resuscitation Council (UK)



    Adult tachycardia (with pulse)
    algorithm
    Assess using the ABCDE approach
    Give oxygen if appropriate and obtain IV access
    Monitor ECG, BP, SpO2 , record 12-lead ECG
    Identify and treat reversible causes (e.g. electrolyte abnormalities)


    Synchronised DC Shock
    Up to 3 attempts


    Amiodarone 300 mg IV over 10-20 min
    and repeat shock; followed by:
    Amiodarone 900 mg over 24 h

    Yes / Unstable







    Broad
    Adverse features?
    Shock
    Syncope
    Myocardial ischaemia
    Heart failure

    No / Stable


    Is QRS narrow (< 0.12 s)?









    Narrow




    Irregular
    Broad QRS
    Is rhythm regular?

    Regula
    r

    Regular
    Narrow QRS
    Is rhythm regular?

    Irregular




    Seek expert help
    !

    Use vagal manoeuvres
    Adenosine 6 mg rapid IV bolus;
    if unsuccessful give 12 mg;
    if unsuccessful give further 12 mg.
    Monitor ECG continuously


    Sinus rhythm restored?

    Irregular Narrow Complex
    Tachycardi a
    Probable atrial fibrillation
    Control rate with:
    -Blocker or diltiazem
    Consider digoxin or amiodarone
    if evidence of heart failure

    Possibilities include:
    AF with bundle branch block
    treat as for narrow complex
    Pre-excited AF
    consider amiodarone
    Pol ymorphic VT
    (e.g. torsade de pointes -
    give magnesium 2 g over 10 min)
    If ventricular tachycardia
    (or uncertain rhythm):
    Amiodarone 300 mg IV
    over 20-60 min;
    then 900 mg over 24 h

    If previously confirmed
    SVT with bundle branch block:
    Give adenosine as for regular
    narrow complex tachycardia

    Yes No



    Probable re-entry paroxysmal SVT:
    Record 12-lead ECG in sinus
    rhythm
    If recurs, give adenosine again &
    consider choice of anti-arrhythmic
    prophylaxis



    Seek expert help
    !




    Possible atrial flutter
    Control rate (e.g. -Blocker)

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