* Establish WV access: + Obtain 12-ead ECG. (hen avaiable) yt stip 6 ORS narrow (0.1200)? + Atta vagal maneuvers + Ghe adenosine 8 mg apis IV push. tro conversion, ‘ive 12mg api IV push may repeat 12 mg dose once Wenytnm converts, probable reentry SVT (reentry supraventricul tachycardia) + Obsore fr reeurence 1 Treat recurence with adenosine 0 longer: ‘ctng AV nodal blocking ‘gents (og. itiazam, Boiockers) Wide (20.12 sec), Irregular Narrow-Complox ‘Techyearaia Probable atrial fibration or possible alia Hutter or MAT {mutfocal aia! taohyoaraa ‘Consider expert consutaton * Gontol at (eg, aitiazem, Brbiockers; use [booker ith ‘auton in pulmonary disease or CHF) tachycardia or Uncertain hyn Amiodarone 150 ma IV ove 10 min Fopoat as need to maximum Gose of 22 gi24 hours + Propae for lective ‘synchronized ‘cardioversion SVT with aberrancy * Give adenosine {rhythm dove NOT convert, ey Possibie atrial flutter, ‘ectopic atrial tachycardia, for junctional tachycardia: *"Contal ae (g,altazem, Blockers; use bockers with ‘cation in pulmonary disease OrCHF) Treat underying cause + Consider exper consitaton 1 ata iriliaton with aberrancy + See inegular Narrow. CComglox Tachycardia oxi) Blocking agents eg, ‘adenosine, digoxin, dlitiazem, verapamil) + Conse antarthyt ries (9, amiodarone 150 rb IV over 10 min) recurrent polymer. hie VF, seek expert onsultaion I torsades de pointes, ‘ge magnesium (oad with 1-29 over 5-60 min, han euson)