Paroxysmal supraventricular tachycardia: Difference between revisions

(Created page with "==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 t...")
 
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     -12mg IVP (fast)
     -12mg IVP (fast)


3) Cardioversion (sync) 0.5-1.0 J/kg
3) CCB (Verapamil or dilt) or BB (metoprolol or esmolol)
 
4) Cardioversion (sync) 0.5-1.0 J/kg


   
   
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2/23/06 DONALDSON (adapted from Rosen)
2/23/06 DONALDSON (adapted from Rosen), UpToDate








[[Category:Peds]]
[[Category:Cards]]

Revision as of 23:42, 1 March 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 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