Static Cardiology: Treatments

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Sinus Bradycardia
Atropine 0.5 mg IV bolus, may repeat every 3-5 minutes. Max 3 mg.

Consider Pacemaker

Epi Drip 2-10 mcg/minute
-OR-
Dopamine 15-20 mcg/kg/minute IV Drip

Sinus Tachycardia
Treat underlying causes (hypovolemia, pain, reassurance, etc.)

Atrial Flutter
If too slow;
Follow Sinus Brady Algorhythm

If too fast, consider;
Adenosine 6/12/12 mg rapid IV Push

Diltiazem 0.25 mg/kg IV push over 2 minutes, may repeat 0.35 mg/kg after 15 minutes

Propranolol 5 mg slow IV push, may repeat after 2 minutes

Cardioversion

Atrial Fibrillation
If too slow;
Follow Sinus Brady Algorhythm

If too fast, consider;
Adenosine 6/12/12 mg rapid IV Push

Diltiazem 0.25 mg/kg IV push over 2 minutes, may repeat 0.35 mg/kg after 15 minutes

Propranolol 5 mg slow IV push, may repeat after 2 minutes

Cardioversion

Wandering Atrial Pacemaker
None 🙁

Supraventricular Tachycardia
Adenosine 6/12/12 mg rapid IV Push

Diltiazem 0.25 mg/kg IV push over 2 minutes, may repeat 0.35 mg/kg after 15 minutes

Propranolol 5 mg slow IV push, may repeat after 2 minutes

Cardioversion

Junctional Tachycardia
Adenosine 6/12/12 mg rapid IV Push

Diltiazem 0.25 mg/kg IV push over 2 minutes, may repeat 0.35 mg/kg after 15 minutes

Propranolol 5 mg slow IV push, may repeat after 2 minutes

Cardioversion

Junctional Rhythm
Atropine 0.5 mg IV bolus, may repeat every 3-5 minutes. Max 3 mg.

Consider Pacemaker

Epi Drip 2-10 mcg/minute
-OR-
Dopamine 15-20 mcg/kg/minute IV Drip

Accelerated Junctional Rhythm
None, monitor/treat for MI

PVCs
Lidocaine 1 to 1.5 mg/kg IV

Amiodarone 6/12/12 mg IV

Procainamide 100mg IV

Ventricular Tachycardia
Lidocaine 1 to 1.5 mg/kg IV

Amiodarone 6/12/12 mg IV

Procainamide 100 mg IV

Ventricular Escape
If there is a pulse;
Consider Pacemaker

Epi Drip 2-10 mcg/minute
-OR-
Dopamine 15-20 mcg/kg/minute IV Drip

Pulseless;
CPR

Epinephrine 1mg IV bolus every 3-5 minutes

Fluid Challenge

Sinus Dysrhythmia
None?

Sinus Arrest
Atropine 0.5 mg IV bolus, may repeat every 3-5 minutes. Max 3 mg.

Consider Pacemaker

Epi Drip 2-10 mcg/minute
-OR-
Dopamine 15-20 mcg/kg/minute IV Drip

Asystole
CPR

ET tube/IV or IO access

Epinephrine 1 mg IV push every 3-5 minutes

Treat H’s and T’s

Consider Sodium Bicarb 1 mEq/kg

First Degree Heart Block
If rate is below 60;
Atropine 0.5 mg IV bolus, may repeat every 3-5 minutes. Max 3 mg.

Consider Pacemaker

Epi Drip 2-10 mcg/minute
-OR-
Dopamine 15-20 mcg/kg/minute IV Drip

Second Degree Type I Heart Block
If rate is below 60;
Atropine 0.5 mg IV bolus, may repeat every 3-5 minutes. Max 3 mg.

Consider Pacemaker

Epi Drip 2-10 mcg/minute
-OR-
Dopamine 15-20 mcg/kg/minute IV Drip

Second Degree Type II Heart Block
If rate is below 60;
Consider Atropine 0.5 mg IV bolus, may repeat every 3-5 minutes. Max 3 mg. (Might not work)

Consider Pacemaker

Epi Drip 2-10 mcg/minute
-OR-
Dopamine 15-20 mcg/kg/minute IV Drip

Third Degree Heart Block
If rate is below 60;
Consider Pacemaker

Epi Drip 2-10 mcg/minute
-OR-
Dopamine 15-20 mcg/kg/minute IV Drip

Ventricular Fibrillation
CPR

Defibrillate

ET/IV or IO

Epinephrine 1mg IV push every 3-5 minutes

Amiodarone 300 mg first dose, 150 mg second dose, used between Epi doses

Treat H’s and T’s

We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy Normal Sinus Rhythm ABC, O2, IV, Monitor (3 & 12 Lead) SAMPLE, OPQRST, Vital Signs Maintain appropriate vital signs …

We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy Normal Sinus Rhythm ABC, O2, IV, Monitor (3 & 12 Lead) SAMPLE, OPQRST, Vital Signs Maintain appropriate vital signs …

We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy Class Antidysrhythmic Description Anamide-type local anesthetic Frequently used to treat life threatening ventricular dysrhythmias WE WILL WRITE A CUSTOM …

We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy Adenosine • SVT • 0.1 mg/kg IV/IO rapid push (max 6 mg) • 2nd dose 0.2 mg/kg IV/IO rapid …

We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy The physician orders Lasix 20 mg IV stat for a child weighing 34 lbs. The pediatric handbook states that …

We use cookies to give you the best experience possible. By continuing we’ll assume you’re on board with our cookie policy ADENOSINE indications for use *First drug for most forms of stable narrow complex SVT. *Effective in terminating those due …

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