Tx of common arrhythmias

Question 1

TX of SVT

Answer 1

Correct Electrolyte

Ventricular rate control- Digoxin, CCB, BB, ADENOSINE or electrical cardioversion if unstable

Question 2

TX of paroxysmal SVT

Answer 2

Carotid massage

Question 3

Adenosine in SVT?

Answer 3

Breaks >90% of SVT and converts to sinus rhythm if adenosine does not break then potential diagnostic test to rule out SVT

Question 4

Vtach Tx

Answer 4

3 consecutive PVCs if it last >30 Secs must Immediate intervene bc of risk of V fib

Question 5

If hypotension or no pulse in Vtach

Answer 5

Defibrillate and tx as V-fib

Question 6

IF hypotension or pulseless V tach

Answer 6

Defibrillate 200-300-360 J

Question 7

IF Pt is asymptomatic Vtach and NOT HYPOTENSIVE

Answer 7

first line tx is amiodarone or lidocaine,

Question 8

V-fib TX

Answer 8

Emergency electric countershock is primary treatment.200-300-360J
PRECORDIAL CHEST THUMB IS RARELY EFFECTIVE

Question 9

SECOND LINE TX FOR V-fib

Answer 9

amiodarone or lidocaine