Pediatric - Stable Narrow Tachycardia - 2023/12/01 Protocols Flashcards
What is the rhythm cut-off for pediatric SVT?
180 BPM
What is the rhythm cut-off for infant SVT?
220 BPM
For the pediatric pt NOT in SVT, what is considered for treatment?
Underlying causes (fever, sepsis, etc.)
For the pediatric pt in stable SVT, what is the first line treatment?
Vagal maneuvers
- Infants - ice pack over eyes
- Pediatrics - blow through 5 cc syringe
For the pediatric pt in stable SVT that does not respond to vagal maneuvers, what is administered?
0.1 mg/kg IV/IO adenosine (max first dose: 6 mg)
repeat
0.2 mg/kg IV/IO adenosine (max second dose: 12 mg)
In the pediatric patient, a QRS < ____ is considered “narrow complex.”
0.09 sec
You are dispatched to a 3 month old child with the following rhythm. Parents state the child has had several episodes of diarrhea recently, and has dry mucos membranes. Which of the following is an appropriate intervention?
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A. Attempt vagal maneuvers
B. Synchronized cardioversion at 1 J/kg
C. Defibrillation at 2 J/kg
D. NS bolus of 30 mL/kg
D. NS bolus of 30 mL/kg
The rate is appx 110 BPM. In a 3 month old, this is likely sinus tachycardia and an underlying cause should be evaluated for and treated.
You are dispatched to a 3 month old child with the following rhythm. Parents state the child has had several episodes of diarrhea recently, and has dry mucos membranes. Which of the following is the rhythm?
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A. SVT
B. LBBB
C. V-Tach
D. Sinus tachycardia
D. Sinus tachycardia
List the “red box” symptoms for tachycardia in the pediatric patient.
- Hypotension
- AMS
- Shock
- Ischemic chest pain
- Acute heart failure
You have elected to synchronize cardiovert a pediatric patient in SVT with signs of shock. What are your electrical therapy doses?
First: 1 J/kg
Second: 2 J/kg
