Static Cardiology: Treatments

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

Normal Sinus Rhythm ABC, O2, IV, Monitor (3 & 12 Lead) SAMPLE, OPQRST, Vital Signs Maintain appropriate vital signs and perfusion Treat life threats and chief complaint 38 y/o female complaining of N/V. BP 98, Respirations 16, SaO2 = 94%, …

Normal Sinus Rhythm ABC, O2, IV, Monitor (3 & 12 Lead) SAMPLE, OPQRST, Vital Signs Maintain appropriate vital signs and perfusion Treat life threats and chief complaint 38 y/o female complaining of N/V. BP 98, Respirations 16, SaO2 = 94%, …

Class Antidysrhythmic Description Anamide-type local anesthetic Frequently used to treat life threatening ventricular dysrhythmias WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR ONLY $13.90/PAGE Write my sample Mechanism of Action Most frequently used Antidysrhythmic …

Adenosine • SVT • 0.1 mg/kg IV/IO rapid push (max 6 mg) • 2nd dose 0.2 mg/kg IV/IO rapid push (max 12 mg) Albumin • Shock, Trauma, Burns • 0.5 to 1 g/kg (10-20 ml/kg of 5% solution) IV/IO rapid …

The physician orders Lasix 20 mg IV stat for a child weighing 34 lbs. The pediatric handbook states that 1 mg/kg is a safe initial dose. Should you give this dose? 34 lbs. X 1kg/2.2 lbs = 15.5 kg 15.5 …

ADENOSINE indications for use *First drug for most forms of stable narrow complex SVT. *Effective in terminating those due to reentry involving AV node or sinus node. AMIODARONE indications for use *VF/pulseless VT unresponsive to shock delivery, CPR, and a …

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