Tachycardia, Narrow Complex Flashcards
1
Q
What kind of patient history should you get?
A
- OPQRST/SAMPLE
- Hx of WPW, A-Fib, cadiac ablations, HTN, hyperlipidemia, MI
- Hx of syncope/near syncope
- Hx of stimulant use (cocaine, caffeine, Ritaline)
2
Q
What are some s/s?
A
- heart rate ≥150 bpm
- Dizziness, lightheadedness, syncope, cheat pain, atique, SOB
- Acute CHF (peripheral edema, pulmonary crackles/rales, hypoxia)
- Hypotension, shocks, AMS, pale/cyanotic, diaphoretic
3
Q
What are the guidelines for SL1?
A
- General patient care
- Airway management
4
Q
What are the guidelines for SL2?
A
- Asymptomatic
- EtCO2
- Cardiac Monitoring 12 lead EKG
5
Q
What do you do for asymptomatic patients?
A
Closely monitor, no immediate intervention is required
6
Q
What do you do if a patient is on a cardiac monitoring 12 lead EKG?
A
Obtain serial EKGs q 10 min
7
Q
What are the guidelines for SL3?
A
Vascular access
8
Q
How does a patient do a vagal maneuvers?
A
Ask the patient to attempt to blow plunger out of a 10mL syringe for 5-10 seconds
9
Q
How should adenosine be administered?
A
Directly to the IV hub via a 3-way stopcock connected to Adenosine dose and a 10mL flush
10
Q
How should adenosine be administered?
A
Directly to the IV hub via a 3-way stopcock connected to Adenosine dose and a 10mL flush
