Paroxysmal supraventricular tachycardia: Difference between revisions
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##12mg IVP(fast) | ##12mg IVP(fast) | ||
##12mg IVP (fast) | ##12mg IVP (fast) | ||
#CCB | #CCB or BB | ||
#Cardioversion (sync) 0.5-1.0 J/kg | #Cardioversion (sync) 0.5-1.0 J/kg | ||
Revision as of 06:40, 4 May 2011
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 if unstable!
- Vagal manuvers
- Adenosine
- 6mg IVP (fast)
- 12mg IVP(fast)
- 12mg IVP (fast)
- CCB or BB
- Cardioversion (sync) 0.5-1.0 J/kg
See Also
Cards: VTach vs Abberant SVT
Source
2/23/06 DONALDSON (adapted from Rosen), UpToDate