Diferencia entre revisiones de «Paroxysmal supraventricular tachycardia»

Sin resumen de edición
Línea 39: Línea 39:
==See Also==
==See Also==


Cards:VTach vs Abberant SVT
Cards: VTach vs Abberant SVT


==Source==
==Source==


2/23/06 DONALDSON (adapted from Rosen), UpToDate
2/23/06 DONALDSON (adapted from Rosen), UpToDate
Sx Sinus Tach SVT
Hx volume loss sudden onset
PE dehydated CHF-like
*HR <180 >180
Variability Yes No
*In infants HR cuttoff = 220
==Treatment==
*Skip to cardioversion is unstable
1) Vagal manuvers
2) Adenosine
    -6mg IVP (fast)
    -12mg IVP (fast)
    -12mg IVP (fast)
3) CCB (Verapamil or dilt) or BB (metoprolol or esmolol)
4) Cardioversion (sync) 0.5-1.0 J/kg
==See Also==
Cards:  VTach vs Abberant SVT
==Source==
2/23/06 DONALDSON (adapted from Rosen), UpToDate


[[Category:Cards]]
[[Category:Cards]]

Revisión del 07:54 12 mar 2011

Diagnosis

Sx Sinus Tach SVT
Hx volume loss sudden onset
PE dehydated CHF-like
*HR <180 >180
Variability Yes No

*In infants HR cuttoff = 220

Treatment

Skip to cardioversion if unstable!

  1. Vagal manuvers
  2. Adenosine
    1. 6mg IVP (fast)
    2. 12mg IVP(fast)
    3. 12mg IVP (fast)
  3. CCB (Verapamil or dilt) or BB (metoprolol or esmolol)
  4. Cardioversion (sync) 0.5-1.0 J/kg

See Also

Cards: VTach vs Abberant SVT

Source

2/23/06 DONALDSON (adapted from Rosen), UpToDate