Unstable Tachycardia
Unstable Tachycardia
Cardioversion
Definition of Unstable
Signs and/or Symptoms
Heart rate usually > 150
Cardioversion
Synchronized
Consider pre-med sedation
Options: midazolam, etomidate, propofol
Engage Synch button for Synchronized
Clear Team, Oxygen off before shock
First Shock Energy Doses:
SVT or A Flutter:
50 to 100J
narrow regular
50 to 100 to 150 to 200J
Afib:
120 to 200J
narrow irregular
120 to 150 to 200 J
Monomorphic VT: 100 J
wide regular
100 to 150 to 200J
Wide Irregular
Defibrillate 200J
Wide Irregular
Defib
Not Synchronized
Turn Off Synch button
200J
