ACLS Rhythm Identification

ACLS Rhythm Identification Atrial Flutter Pulseless Electrical Activity Sinus Bradycardia Sinus Tachycardia A pt. with regular narrow-complex QRS at a rate 150bpm in which vagal maneuvers are ineffective should be given 6mg adenosine IV Synchronized cardioversion is indicated if the pt. is hypotensive, AMS, shock, ischemic CP, or acute HF Sinus Bradycardia Sinus bradycardia can be treated with atropine at an initial dose of 0.5mg *Not ALL cases of sinus brady needed to be treated with atropine! If pt. is symptomatic (chest pain, SOB) it requires treatment. Monomorphic Ventricular Tachycardia Second Degree Heart Block (Mobitz II) Fine Ventricular Fibrillation VFib should be treated with defibrillation followed by 1mg epi if necessary...and of course CPR Agonal Rhythm/Asystole Asystole is treated with high quality CPR and epi 1mg or vasopressin 40mg IV/IO Reentry Supraventricula