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PALS

Arryhthmias

QuestionAnswer
Bradycardia 1st step CPR
Bradycardia 1st drug Epinephrine Q3-5min
Bradycardia (if increased vagal tone/primary AV block) Atropine 0.02 mg/kg - consider cardiac pacing
Sinus Tachycardia Search for and tx cause
SVT 1st step Vagal manuevers
SVT after vagal manuever Adenosine or Sync cardiovert 0.5-1 J/kg
SVT last step (drugs) Amiodarone or Procainamide
VT with pulse/poor perfusion Sync cardiovert (may attempt adenosine)
VT with pulse/poor perfusion (after cardiovert) Amiodarone or Procainamide
VF/pulseless VT after 1st rhythm check 1 shock - resume CPR 5 cycles
VF/pulseless VT after 2nd rhythm check 1 shock - CPR 5 cycles - epinephrine Q3-5min
VF/pulseless VT after 3rd check 1 shock - CPR - consider antiarrhythmics (amiodarone/lido)
Torsades de Pointes Magnesium
Asystole/PEA after 1st check CPR 5 cycles - epinephrine
Asystole/PEA after 2nd check no pulse, repeat after 1st check
Created by: DV8
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