Pediatric Tachycardia/Stable
(Normal Mental Status, Palpable Radial Pulse)
Narrow Complex
≤0.11 Sec
General Pediatric 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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Successful?
No
Undifferentiated
Monomorphic VT
Suspected to be SVT with
aberrancy
Regular
Monomorphic VT
Torsades de Points
Successful?
Yes
☎
AMIODARONE
5 mg/kg IV
in 50 cc NS
over 20 min
☎
MAGNESIUM SULFATE
25 mg/kg IV
in 50 cc NS
over 10 min
☎
ADENOSINE
0.1 mg/kg
rapid IVP
not to exceed 6 mg
Successful?
No
☎
Synchonized
Cardioversion
Start at 0.5 to 1 j/kg;
May use 2 j/kg
if unsuccessful;
Consider sedation
ETOMIDATE
0.15 mg/kg IV
Yes
Continue
General
Patient Care
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Successful?
No
☎
ADENOSINE
0.2 mg/kg
rapid IVP
not to exceed 12 mg
Yes
Continue General Patient Care
Continue Assessment
Go to General Pediatric Assessment