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Tachycardia With a Pulse Algorithm Identify and Treat Underiying Cause 4 Maintain patent anway: asi breathing as * Oxygon fi O,sat« 84%) ea are eee eee eee eer! Pernt peet sito ACLS Beret * Carslae monitor to Went ehytnm monitor blood pressure ang oximetry ‘Synchronized Cardioversion* + Consider sedation «1 regular narow complex, (coneder adenosine = IWaccess and T2-lead EGG W avaiable, * Constior adenosine only # regular and | ren * Consider antiarythmic infusion, © Consice 1 Vagal Manowors {Adenosine guia) 1 B-Blocker or cateum channel blocker, Consider expert consultation ens Dose: Fist doso : 8 mg rapid IV push; follow wih NS fush, Second dose : 12 mg I required «Narrow regular: 50-100 J 1 Narow inogula : 120-200 J biphasie or 200 J manophasio 1 Wido guia: 100 * Wico iroguar : Defiolaton {dose (NOT synchrorized ) Cy for Stable Wide-QRS Tachycardia Procainamide IV Dose: 2050 malin unt antyia suppressed, hypotonion ensues, GAS duration increases >50% or maximum dose 17 mokg given. Maintenance infusion 1-4 mg/m ‘Avo I prolonged GT or CHE pert consultation, err eaen a PE Fist dose: 160 mg over 10 minutos. Repeat as needed f VT recurs. Folow by maintenance ition (fT gh fr fist 6 Pour. Peeing 100 mg (1.5 markg )over 5 minutes. ‘aid f prolonged QT “Links, Ans DL, Pasian AS, Halon HR, Stmaon AA, Wie RD, Cun MT Borg MO, Kudenchuk PU, Kober RE "Pat: Sect! thaapo: wrod eo ees,

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