טכיאריתמיות

Question 1

Adenosine

Answer 1

• 1st line treatment for Stable
  narrow-QRS suspected as
  PSVT
• Stable wide-QRS
  tachycardia only if regular &
  monomorphic (suspected to
  be PSVT w/ aberration)

1st dose:
6mg IV rapid push
2nd dose:
12mg IV rapid push
3rd dose:
12mg IV rapid push
Follow each dose with 20cc
normal saline flush

Question 2

CCB – verapamil

Answer 2

Stable narrow-QRS:
o Rate control in A. fib or A.
Flutter
o 2nd line treatment for
PSVT

Question 3

β Blockers – Metoprolol

Answer 3

• Stable narrow-QRS:
  o Rate control in A. fib or A.
  Flutter
  o 2nd line treatment for
  PSVT

Question 4

Amiodarone

Answer 4

• First line treatment for
  Stable wide-QRS
• Rhythm control in A. fib
• 3rd line treatment for PSVT