Valsalva Moneovure

Question 1

Indications for valsalva

Answer 1

• Adult patient with SVT with heart rate greater than 150 and
• 12 lead ECG has been acquired

Question 2

Contraindications and cautions

Answer 2

Contraindications

• Pt cannot obey commands
• A valsalva manoeuvre has been attempted twice
• Dysrhythmia is not the primary problem

Cautions - seek clinical advice if pt less than 12

Question 3

Potential complications of procedure

Answer 3

• Syncope
• Prolonged hypotensive episode
• Bradycardia

Question 4

How to do a valsalva manoeuvre

Answer 4

• Ensure cardiac monitoring is attached
• Sit pt up and get them to blow into a 10 or 20 ml syringe to try move the plunger for 15-20 seconds
• Then lay them back with legs up
• Reassess pts cardiac rhythm
• Document procedure and outcome