Paroxysmal supraventricular tachycardia: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
==Diagnosis== | |||
{| class="pbNotSortable" width="200" cellspacing="1" cellpadding="1" | |||
| '''Sx''' | |||
| '''Sinus Tach''' | |||
| '''SVT''' | |||
|- | |||
| Hx | |||
| volume loss | |||
| sudden onset | |||
|- | |||
| PE | |||
| dehydated | |||
| CHF-like | |||
|- | |||
| <nowiki>*HR</nowiki> | |||
| <180 | |||
| >180 | |||
|- | |||
| Variability | |||
| Yes | |||
| No | |||
|} | |||
<nowiki>*In infants HR cuttoff = 220</nowiki> | |||
==Treatment== | |||
<nowiki>*Skip to cardioversion is unstable</nowiki> | |||
1) Vagal manuvers | |||
2) Adenosine | |||
-6mg IVP (fast) | |||
-12mg IVP�(fast) | |||
-12mg IVP (fast) | |||
3) CCB (Verapamil or dilt) or BB (metoprolol or esmolol) | |||
4) Cardioversion (sync) 0.5-1.0 J/kg | |||
==See Also== | |||
Cards:� VTach vs Abberant SVT | |||
==Source== | |||
2/23/06 DONALDSON (adapted from Rosen), UpToDate | |||
Sx Sinus Tach SVT | Sx Sinus Tach SVT | ||
Revision as of 07:51, 12 March 2011
Diagnosis
Diagnosis
| Sx | Sinus Tach | SVT |
| Hx | volume loss | sudden onset |
| PE | dehydated | CHF-like |
| *HR | <180 | >180 |
| Variability | Yes | No |
*In infants HR cuttoff = 220
Treatment
*Skip to cardioversion is unstable
1) Vagal manuvers
2) Adenosine
-6mg IVP (fast)
-12mg IVP�(fast)
-12mg IVP (fast)
3) CCB (Verapamil or dilt) or BB (metoprolol or esmolol)
4) Cardioversion (sync) 0.5-1.0 J/kg
See Also
Cards:� VTach vs Abberant SVT
Source
2/23/06 DONALDSON (adapted from Rosen), UpToDate
Sx Sinus Tach SVT Hx volume loss sudden onset PE dehydated CHF-like
- HR <180 >180
Variability Yes No
- In infants HR cuttoff = 220
Treatment
- Skip to cardioversion is unstable
1) Vagal manuvers
2) Adenosine
-6mg IVP (fast)
-12mg IVP (fast)
-12mg IVP (fast)
3) CCB (Verapamil or dilt) or BB (metoprolol or esmolol)
4) Cardioversion (sync) 0.5-1.0 J/kg
See Also
Cards: VTach vs Abberant SVT
Source
2/23/06 DONALDSON (adapted from Rosen), UpToDate