Tachycardiac Flashcards
1
Q
Life threatening features in tachyarrythmias
A
Shock
Syncope
Myocardial ischaemia
Severe heart failure
2
Q
Normal QRS time
A
0.12 seconds
3
Q
Torsades de pointes management
A
2mg magnesium sulfate over 10mins
4
Q
Management of broad complex regular tachycardia with no life-threatening features e.g. VT
A
Amiodarone 300mg IV over 10-60mins
5
Q
Management of narrow complex regular tachycardia no life-threatening features
A
Vagal manoeuvres
Adenosine (6mg bolus, 12mg bolus, 18mg bolus)
Verapamil or beta blocker
Synchronised DC shock up to 3 attempts
6
Q
Contraindication for adenosine
A
Asthma
7
Q
Management for narrow complex irregular tachycardia (atrial fib)
A
Control rate with beta blocker
Consider digoxin, amiodarone if evidence of heart failure
Anticoagulante if over 48 hours
