Tachycardias – Narrow Complex w/ pulse (Unstable)

C306

• Obtain 12-Lead EKG of initial rhythm
• If patient is to be cardioverted and does not have an altered LOC, consider sedation- Versed 2-4 mg IV/IO/IM until patient’s speech slurs or a total of 8 mg
• Atrial fibrillation: synchronized cardioversion at initial energy of 120-200 joules biphasic
• Atrial flutter and all other SVTs: synchronized cardioversion at initial energy of 50-100 joules biphasic
• If initial energy level fails, increase energy stepwise 100/ 200/ 300/ 360
• If no change from above, contact medical control
• If patient converts, obtain 12-lead EKG