RRAPID NARROW COMPLEX TACHYCARDIAS

Question 1

What is seen on the ECG? (4)

Answer 1

1. rate greater than 100 beats/min
2. QRS complexes < 012s
3. regular rhythm = supraventricular tachycardia, junctional tachycardia
4. irregular rhythm = AF

Question 2

ABCDE (2,5)

Answer 2

B

1. O2 15l/min non-rebreathe mask
2. O2 stas

C

1. 2 wide bore cannulas
2. ECG
3. Bp
4. bloods
5. blood cultures if sepsis is suspected

Question 3

What is the treatment for narrow complex tachycardias with adverse effects?

Answer 3

1. synchronised DC shock

Question 4

What is the treatment for regular narrow complex tachycardias without adverse effects? (3)

Answer 4

1. treat supra ventricular tachycardias
2. use vagal manoeuvres
3. adenosine

Question 5

What is the treatment for irregular narrow complex tachycardias without adverse features? (4)

Answer 5

1. treat AF
2. digoxin - rate control
3. beta blocker - rate control
4. amiodarone for cardioversion and rate control