Wide Monomorphic
Wide Monomorphic
Stable
Wide Monomorpic
Regular
V Tach
or
SVT with Aberrancy
If Stable
Expert Consultation Advised
SVT with Aberrancy
Adenosine can convert SVT
Can use Adenosine for diagnosis
6 mg IV Adenosine
Monomorphic V Tach
Amiodarone
150 mg IV over 10 minutes
repeat if needed
Maintenance 1 mg/min x 6 hours
then 0.5 mg/min x 18 hours
see ACLS
or
Procainamide
20-50 mg/min
up to 17 mg/kg or
QRS widened by 50% or
hypotension
Maintenance 1 to 4 mg/min
Lidocaine
Not current ACLS
1.5 mg/kg IV then
Drip 1 to 4 mg/min
