Arrhythmia
|
Treatment
|
asymptomatic bradycardia
|
nothing
|
symptomatic bradycardia
|
atropine
|
third degree heart block
|
transcutaneous pacing then permanent pacemaker
|
unstable supraventricular tachycardia
|
cardioversion
|
stable, wide complex supraventricular tachycardia
|
amiodarone
|
stable, regular, narrow complex supraventricular tachycardia
|
adenosine
|
stable ventricular tachycardia
|
amiodarone, lidocaine
|
unstable ventricular tachycardia with a pulse
|
cardioversion
|
pulseless ventricular tachycardia
|
shock
|
ventricular fibrillation
|
shock
|
pulseless electrical activity (PEA)
|
CPR + epi
|
|
Arrhythmia
|
Treatment
|
asystole
|
CPR + epi
|
wolf parkinson white
|
procainimide
|
refractory symptomatic bradycardia
|
dopamine, epinephrine
|
unstable atrial fibrillation rvr 48h+
|
anticoagulation x 3 weeks, cardioversion, anticoagulation x 4 weeks
|
unstable atrial fibrillation rv < 48h
|
cardioversion
|
stable atrial fibrillation rvr
|
metoprolol, diltiazem
|
hypertensive emergency
|
nitroprusside, nicardipine, labetalol
|
myocardial infarction
|
morphine, oxygen, nitrates, aspirin, BB, ACEi, statin, heparin
|
inferior myocardial infarction
|
oxygen, aspirin, BB, ACEi, statin, heparin
|
vasospastic angina (2)
|
CCB, nitrates, aspirin, heparin
|
cocaine induced myocardial infarction (2)
|
CCB, nitrates, aspirin, heparin, benzodiazepines
|
|