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ACLS/BLS Preparation

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

Session Completion!

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

Therapy Drag

?
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
Wide QRS?
>= 0.12 Sec
- 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.

Persistent Tachyarrhythmia Causing
- IV access and 12 lead ECG if available
- Adenosine (if regular)
- Consider adenosine only of regular and monomorphic
Synchronized Cardio Version

- Signs of shock?
Identify and Treat underlying cause
- Hypotension?
- Oxygen (if hypoxemic)
Assess appropriateness for clinical condition
- Consider sedation

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
?
Wide QRS?
>= 0.12 Sec
?
- 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.

- Consider antiarrhythmic infusion
- IV access and 12 lead ECG if available
- Maintain patent airway; assist breathing as necessary
- If regular narrow complex, consider adenosine
- Acute heart failure?
- Vagal manueuvers
- B-Blocker or calcium channel blocker
- Acutely altered mental status?
Heart Rate typically >= to 150/min if tachyarrhythmia

?
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
Wide QRS?
>= 0.12 Sec
- 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.

- Consider sedation
- IV access and 12 lead ECG if available
- Adenosine (if regular)
Synchronized Cardio Version

- Signs of shock?
- Consider adenosine only of regular and monomorphic
- Oxygen (if hypoxemic)
Assess appropriateness for clinical condition
Identify and Treat underlying cause
Persistent Tachyarrhythmia Causing
- Hypotension?

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
?
Wide QRS?
>= 0.12 Sec
?
- 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.

- Vagal manueuvers
- Acutely altered mental status?
- Acute heart failure?
- IV access and 12 lead ECG if available
- Maintain patent airway; assist breathing as necessary
- If regular narrow complex, consider adenosine
Heart Rate typically >= to 150/min if tachyarrhythmia
- B-Blocker or calcium channel blocker
- Consider antiarrhythmic infusion

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.