Adult Resus - Narrow Complex Tachycardia

Question 1

Unstable adult tachycardia is defined as one causing _____.

Answer 1

AMS, hypotension, acute heart failure, or signs of shock.

Question 2

If an adult presents with stable, narrow complex tachycardia, consider ____ first.

Answer 2

vagal maneuvers

Question 3

If an adult presents with stable, narrow complex tachycardia, if vagal maneuvers are unsuccessful, what is attempted next?

Answer 3

IV/IO adenosine:

- 12 mg rapid IVP x2

Question 4

If an adult presents with stable, narrow complex tachycardia, if adenosine is unsuccessful, what is attempted next?

Answer 4

Cardizem, 12.5-25 mg slow IVP/IO