Paroxysmal supraventricular tachycardia: Difference between revisions
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==See Also== | ==See Also== | ||
Cards: | Cards: VTach vs Abberant SVT | ||
==Source== | ==Source== | ||
2/23/06 DONALDSON (adapted from Rosen), UpToDate | 2/23/06 DONALDSON (adapted from Rosen), UpToDate | ||
[[Category:Cards]] | [[Category:Cards]] | ||
Revision as of 07:54, 12 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 if unstable!
- Vagal manuvers
- Adenosine
- 6mg IVP (fast)
- 12mg IVP(fast)
- 12mg IVP (fast)
- CCB (Verapamil or dilt) or BB (metoprolol or esmolol)
- Cardioversion (sync) 0.5-1.0 J/kg
See Also
Cards: VTach vs Abberant SVT
Source
2/23/06 DONALDSON (adapted from Rosen), UpToDate