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SVT

  • Firstline tx

    • if unstable, give cardioversion
    • if stable, vagal maneuvers (valsalva, facial ice pack, carotid sinus massage)
  • Firstline tx for WPW associated SVT

    • adenosine 6 mg rapid IV bolus followed by 20mL NS rapid flush
    • if no response in 2 min, give 12 mg second dose
  • Tx for wide complex WPW

    • procainamide 17mg/kg IV over 30 min
    • when in doubt, tx as Vtach: defib if no pulse, cardiovert if unstable, otherwise amiodarone 150mg IV over 10 min (repeat q10min x 13 doses max)
  • EKG

    • HR > 200, delta wave

  • Print | Citations

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