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Website Tachycardia Algorithm Diagram

This document outlines the AHA ACLS Adult Tachycardia Algorithm for treating tachyarrhythmias with a pulse. It recommends identifying if the tachyarrhythmia is causing symptoms and treating any underlying causes. It provides guidance on synchronized cardioversion doses and using adenosine or antiarrhythmic drugs depending on the heart rate and rhythm. The algorithm also indicates considering expert consultation if initial treatments are refractory or the patient condition worsens.

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colette zgheib
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© © All Rights Reserved
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99 views

Website Tachycardia Algorithm Diagram

This document outlines the AHA ACLS Adult Tachycardia Algorithm for treating tachyarrhythmias with a pulse. It recommends identifying if the tachyarrhythmia is causing symptoms and treating any underlying causes. It provides guidance on synchronized cardioversion doses and using adenosine or antiarrhythmic drugs depending on the heart rate and rhythm. The algorithm also indicates considering expert consultation if initial treatments are refractory or the patient condition worsens.

Uploaded by

colette zgheib
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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AHA ACLS Adult Tachycardia Algorithm

(With A Pulse)

Tachyarrhythmia typically seen when the heart


rate is ≥ 150/min
Is the tachyarrhythmia causing the symptoms? Synchronized Cardioversion Doses
NEW: AHA recommends referring to your
specific device’s recommended energy
level to maximize first shock success.

Initial recommended doses:


The priority should be to • Narrow regular: 50-100 J
• Narrow irregular: 120-200 biphasic
identify and treat the underlying cause or 200 J Monophasic
• Maintain patent airway; assist breathing if necessary
• Wide regular: 100J
• Apply oxygen (if hypoxemic); monitor pulse oximetry
• Wide irregular: defibrillation dose
• Apply cardiac monitor; monitor blood pressure
(not synchronized)
• Start IV and obtain 12-lead ECG if possible
Adenosine IV Dose:
First dose 6mg rapid IV push and NS flush
Second dose: 12 mg if needed

Is the Tachyarrhythmia causing:


• Hypotension? Yes Synchronized Cardioversion
• Altered mental status? • Consider sedation
• Signs of shock? • May use adenosine for regular narrow
complex tachyarrhythmia
• Ischemic chest discomfort?
• Acute heart failure? If refractory, consider
• Underlying cause
• Need to increase energy level for
next cardioversion
No • Addition of antiarrhythmic
• Expert Consultation

Yes • May use adenosine only if


Is the QRS Wide regular and monomorphic
≥ 0.12 second • Consider antiarrhythmic infusion
• Consider expert consultation

No

• Vagal Maneuvers (if rate is regular)


• Adenosine (if rate is regular) Antiarrhythmics that may be considered
• β-Blocker or calcium channel blocker Amiodarone
• Consider expert consultation Procainamide
Sotalol

© 2021 Jeffery Media Productions

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