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ACLS/BLS Preparation

Instructions

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Why?

To familiarize the user with the general layout of the Tachycardia Algorithm prior to memorizing algorithm content.

One session a day for 7 days

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Session Completion!

Place this information in your long term memory with "Spaced Repitetion" by reviewing once a day for 7 days

One session a day for 7 days

Click Here to Repeat Session

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Adult Tachycardia (With Pulse)

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Drag boxes to their proper positions.

Persistent Tachyarrhythmia Causing
- Hypotension?
- Acutely altered mental status? - Signs of shock? - Ischemic chest discomfort? - Acute heart failure?
Identify and Treat underlying cause
- Maintain patent airway; assist breathing as necessary
- Oxygen (if hypoxemic)
- Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
Wide QRS?
>= 0.12 Sec
Synchronized Cardio Version
- Consider sedation
- If regular narrow complex, consider adenosine
Assess appropriateness for clinical condition
Heart Rate typically >= to 150/min if tachyarrhythmia
- IV access and 12 lead ECG if available
- Vagal manueuvers
- Adenosine (if regular)
- B-Blocker or calcium channel blocker
- Consider expert consultation
- IV access and 12 lead ECG if available
- Consider adenosine only of regular and monomorphic
- Consider antiarrhythmic infusion
- Consider expert consultation

Adult Tachycardia (With Pulse)

?
?
?
?
?
?
?

Drag boxes to their proper positions.

Identify and Treat underlying cause
- Maintain patent airway; assist breathing as necessary
- Oxygen (if hypoxemic)
- Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
Wide QRS?
>= 0.12 Sec
Synchronized Cardio Version
- Consider sedation
- If regular narrow complex, consider adenosine
Assess appropriateness for clinical condition
Heart Rate typically >= to 150/min if tachyarrhythmia
Persistent Tachyarrhythmia Causing
- Hypotension?
- Acutely altered mental status? - Signs of shock? - Ischemic chest discomfort? - Acute heart failure?
- IV access and 12 lead ECG if available
- Consider adenosine only of regular and monomorphic
- Consider antiarrhythmic infusion
- Consider expert consultation
- IV access and 12 lead ECG if available
- Vagal manueuvers
- Adenosine (if regular)
- B-Blocker or calcium channel blocker
- Consider expert consultation

Adult Tachycardia (With Pulse)

?
?
?
?
?
?
?

Drag boxes to their proper positions.

- IV access and 12 lead ECG if available
- Consider adenosine only of regular and monomorphic
- Consider antiarrhythmic infusion
- Consider expert consultation
Assess appropriateness for clinical condition
Heart Rate typically >= to 150/min if tachyarrhythmia
- IV access and 12 lead ECG if available
- Vagal manueuvers
- Adenosine (if regular)
- B-Blocker or calcium channel blocker
- Consider expert consultation
Persistent Tachyarrhythmia Causing
- Hypotension?
- Acutely altered mental status? - Signs of shock? - Ischemic chest discomfort? - Acute heart failure?
Identify and Treat underlying cause
- Maintain patent airway; assist breathing as necessary
- Oxygen (if hypoxemic)
- Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
Wide QRS?
>= 0.12 Sec
Synchronized Cardio Version
- Consider sedation
- If regular narrow complex, consider adenosine

Adult Tachycardia (With Pulse)

?
?
?
?
?
?
?

Drag boxes to their proper positions.

Synchronized Cardio Version
- Consider sedation
- If regular narrow complex, consider adenosine
- IV access and 12 lead ECG if available
- Vagal manueuvers
- Adenosine (if regular)
- B-Blocker or calcium channel blocker
- Consider expert consultation
- IV access and 12 lead ECG if available
- Consider adenosine only of regular and monomorphic
- Consider antiarrhythmic infusion
- Consider expert consultation
Identify and Treat underlying cause
- Maintain patent airway; assist breathing as necessary
- Oxygen (if hypoxemic)
- Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
Wide QRS?
>= 0.12 Sec
Assess appropriateness for clinical condition
Heart Rate typically >= to 150/min if tachyarrhythmia
Persistent Tachyarrhythmia Causing
- Hypotension?
- Acutely altered mental status? - Signs of shock? - Ischemic chest discomfort? - Acute heart failure?

Adult Tachycardia (With Pulse)

?
?
?
?
?
?
?

Drag boxes to their proper positions.

Wide QRS?
>= 0.12 Sec
- IV access and 12 lead ECG if available
- Consider adenosine only of regular and monomorphic
- Consider antiarrhythmic infusion
- Consider expert consultation
Identify and Treat underlying cause
- Maintain patent airway; assist breathing as necessary
- Oxygen (if hypoxemic)
- Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
- IV access and 12 lead ECG if available
- Vagal manueuvers
- Adenosine (if regular)
- B-Blocker or calcium channel blocker
- Consider expert consultation
Assess appropriateness for clinical condition
Heart Rate typically >= to 150/min if tachyarrhythmia
Synchronized Cardio Version
- Consider sedation
- If regular narrow complex, consider adenosine
Persistent Tachyarrhythmia Causing
- Hypotension?
- Acutely altered mental status? - Signs of shock? - Ischemic chest discomfort? - Acute heart failure?
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