Instructions
Therapy Drag
Why?
The goal for this tutorial is to assist the user in memorizing the Tachycardia Algorithm content.
One session a day for 7 days
Place this information in your long term memory with "Spaced Repitetion" by reviewing once a day for 7 days
Last tutorial
Click "Contents" for more choices
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Heart Rate typically >= to 150/min if tachyarrhythmia
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- Maintain patent airway; assist breathing as necessary
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- Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
?
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- Acutely altered mental status?
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- Ischemic chest discomfort?
- Acute heart failure?
?
?
- If regular narrow complex, consider adenosine
- IV access and 12 lead ECG if available
?
- Consider antiarrhythmic infusion
- Consider expert consultation
?
- Vagal manueuvers
?
- B-Blocker or calcium channel blocker
- Consider expert consultation
Remember:
With each therapy/text drag, look at the box and think about why the therapy or text is placed in that specific box.
Note:
Therapies have to be placed in their "official" AHA algorithm order
Drag boxes to their proper positions.
Synchronized Cardio Version
Assess appropriateness for clinical condition
- Consider sedation
- Oxygen (if hypoxemic)
- Adenosine (if regular)
- Hypotension?
Persistent Tachyarrhythmia Causing
- IV access and 12 lead ECG if available
- Consider adenosine only of regular and monomorphic
- Signs of shock?
Identify and Treat underlying cause
Assess appropriateness for clinical condition
?
Identify and Treat underlying cause
?
- Oxygen (if hypoxemic)
- Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
Persistent Tachyarrhythmia Causing
- Hypotension?
?
- Signs of shock?
- Ischemic chest discomfort?
?
Synchronized Cardio Version
- Consider sedation
?
?
- Consider adenosine only of regular and monomorphic
?
- Consider expert consultation
- IV access and 12 lead ECG if available
?
- Adenosine (if regular)
?
- Consider expert consultation
Remember:
with each therapy/text drag, look at the box and think about why the therapy or text is placed in that specific box.
Note:
Therapies have to be placed in their "official" AHA algorithm order
Drag boxes to their proper positions.
- Acute heart failure?
- IV access and 12 lead ECG if available
- Maintain patent airway; assist breathing as necessary
Heart Rate typically >= to 150/min if tachyarrhythmia
- B-Blocker or calcium channel blocker
- Acutely altered mental status?
- If regular narrow complex, consider adenosine
- Consider antiarrhythmic infusion
- Vagal manueuvers
?
Heart Rate typically >= to 150/min if tachyarrhythmia
?
- Maintain patent airway; assist breathing as necessary
?
- Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
?
?
- Acutely altered mental status?
?
- Ischemic chest discomfort?
- Acute heart failure?
?
?
- If regular narrow complex, consider adenosine
- IV access and 12 lead ECG if available
?
- Consider antiarrhythmic infusion
- Consider expert consultation
?
- Vagal manueuvers
?
- B-Blocker or calcium channel blocker
- Consider expert consultation
Remember:
with each therapy/text drag, look at the box and think about why the therapy or text is placed in that specific box.
Note:
Therapies have to be placed in their "official" AHA algorithm order
Drag boxes to their proper positions.
Identify and Treat underlying cause
Synchronized Cardio Version
- Oxygen (if hypoxemic)
Assess appropriateness for clinical condition
- Hypotension?
- IV access and 12 lead ECG if available
- Consider sedation
- Consider adenosine only of regular and monomorphic
Persistent Tachyarrhythmia Causing
- Adenosine (if regular)
- Signs of shock?
Assess appropriateness for clinical condition
?
Identify and Treat underlying cause
?
- Oxygen (if hypoxemic)
- Cardiac monitor to identify rhythm; monitor blood pressure and oximetry
Persistent Tachyarrhythmia Causing
- Hypotension?
?
- Signs of shock?
- Ischemic chest discomfort?
?
Synchronized Cardio Version
- Consider sedation
?
?
- Consider adenosine only of regular and monomorphic
?
- Consider expert consultation
- IV access and 12 lead ECG if available
?
- Adenosine (if regular)
?
- Consider expert consultation
Remember:
with each therapy/text drag, look at the box and think about why the therapy or text is placed in that specific box.
Note:
Therapies have to be placed in their "official" AHA algorithm order
Drag boxes to their proper positions.
- IV access and 12 lead ECG if available
- Vagal manueuvers
Heart Rate typically >= to 150/min if tachyarrhythmia
- If regular narrow complex, consider adenosine
- B-Blocker or calcium channel blocker
- Acute heart failure?
- Maintain patent airway; assist breathing as necessary
- Consider antiarrhythmic infusion
- Acutely altered mental status?
Remember:
with each therapy/text drag, look at the box and think about why the therapy or text is placed in that specific box.
Note:
Therapies have to be placed in their "official" AHA algorithm order
Drag boxes to their proper positions.