Tachycardia/Stable
(Normal Mental Status, Palpable Radial Pulse)
Narrow Complex
≤0.11 Sec
General Adult Assessment
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Cardiac monitor
Vascular Access
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12-Lead ECG
Wide Complex
≥0.12 Sec
Vegal Maneuvers
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Undifferentiated
Monomorphic VT
Suspected to be SVT with
aberrancy
Regular
Monomorphic VT
Torsades de Points
Successful?
Yes
AMIODARONE
150 mg IV in 50 cc NS
over 10 min
MAGNESIUM SULFATE
2.0 gm IV in 50 cc NS
over 10 min
No
Administer
ADENOSINE
6 mg rapid IVP
Successful?
Yes
Successful?
Successful?
No
Administer
ADENOSINE
12 mg rapid IVP
Yes
No
No
☎
Synchonized
Cardioversion
Consider sedation
ETOMIDATE
0.15 mg/kg IV
☎
Defibrillation
Consider sedation
ETOMIDATE
0.15 mg/kg IV
Continue General Patient Care
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