Svt

[falcon-18]

Hi, all

there is one female in ER she is chief complaint from chest pain when we put her on monitor, SVT rhythm, narrow QRS, B/P-130/85 HR 190 IV line is apparent and adenosin is ready but patient now altterd mental statues and B/P-65/35
and cool skin what you will do ? give adenosin or sync cardioversion ?

 

[vquintessence]

zzzzzzzzzzzzzzzap. Hope you're not waiting by the pt for an answer

 

[vquintessence]

^^^ based on the little info ya gave, but I'm curious... were vagal maneuvers tried during the 1-2 minutes getting the drug and bolus ready? A lot of ppl jump straight to Adenocard...

Seems like you're asking because they went ahead with Adenocard?

 

[falcon-18]

yes i forget that vagal maneuvers done but no affect

 

[firecoins]

well they had some affect. Look at the drop in BP.

 

[falcon-18]

well they had some affect. Look at the drop in BP.

yes vagal maneuvers sometimes affected but to this pt not effect

BP-low cns-altterd skin cool all it is signs of unstable

but i want know when pt unstable and IV LINE is ready what we will do go to cardioversion or vagal maneuvers then adenosin

 

[GonnaBeEMT]

If she is still in SVT and her bp went down like that I would say to do synched cardioversion

 

[Silverstone]

Stable = Adenosine
Unstable = Synchronized Cardioversion

I'm sure you know how to differentiate between stable and unstable.

 

[falcon-18]

Stable = Adenosine
Unstable = Synchronized Cardioversion

I'm sure you know how to differentiate between stable and unstable.

yes I know stable & unstable but pt come unstable after vagal maneuvers and

((IV LINE IS READY))

but- DR/ in ER said you must give adenosin becouse treatment of SVT is adenosin not
cardioversion but if IV LINE is not ready you will do cardioversion

((BUT I WILL DO cardioversion becouse adenosin contraindication when hyoptesion))

Who is agree me?

 

[reaper]

What country are you in? What is your protocol there?

 

[falcon-18]

What country are you in? What is your protocol there?

American Heart Guidelines

 

[falcon-18]

this doctor is new
But he embarrassed when I asked him this question. Is a new staff member. he is Not expert
he is just now taking (ACLS COURSE)

dont warry about this question

close it

thanks every body

falcon-18