Unstable Tachycardia Flashcards
1
Q
Questions to first ask yourself with tachycardia ?
A
- Stable or Unstable
- Wide or narrow
- Regular or Irregular
2
Q
Narrow Irregular and patient is unstable
A
Synchronized, 120-200 Biphasic, 200 Monophasic
3
Q
Dosage of adenosine for narrow complex tachycardia
A
6mg, second dose is 12mg
4
Q
Unstable with wide complex VT
A
Synchronized 100J Monophonic Shock
5
Q
When is a tachycardia unstable ?
A
When it causes hypotension, altered mental status, shock, AHF, or ischemic chest discomfort.
6
Q
Critical decision when evaluating tachycardia
A
Is the tachycardia causing the underlying instability…. or is an underlying condition causing the tachycardia.
7
Q
What heart rate range will primarily cause instability
A
generally
8
Q
How do you address the patient who is tacky and stable ?
A
Expert consultation because the treatment can cause harm
