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===First Initial Rapid Evaluation of Suspected Narrow Complex Tachycardia=== | |||
Shown below is an algorithm for the First Initial Rapid Evaluation (FIRE) of suspected NCT | |||
{{Family tree/start}} | {{Family tree/start}} | ||
{{familytree | | | | | | | A01 | | |A01=<div style="float: left; text-align: left; width: 18em; padding:1em;">''' | {{familytree | | | | | | | A01 | | |A01=<div style="float: left; text-align: left; width: 18em; padding:1em;">'''Identify cardinal signs and symptoms that increase the pretest probability of NCT''' <br> | ||
❑ [[Tachycardia]] <br> ❑ [[Hypotension]]<br>❑ [[Loss of consciousness]]<br>❑ Severe [[dyspnea]]<br> | ❑ [[Palpitations]] (Most common presentation)<br> ❑ [[Tachycardia]] <br> ❑ [[Hypotension]]<br>❑ [[Loss of consciousness]]<br>❑ Severe [[dyspnea]]<br> | ||
</div>}} | </div>}} | ||
{{familytree | | | |,|-|-|-|^|-|-|-|.| | | | | | | | | | | }} | {{familytree | | | |,|-|-|-|^|-|-|-|.| | | | | | | | | | | }} | ||
{{familytree | | | K02 | | | | | | K05 | | | | | | | | | | |K02=❑ '''Unstable patient'''|K05=❑ '''Stable patient'''}} | {{familytree | | | K02 | | | | | | K05 | | | | | | | | | | |K02=❑ '''Unstable patient'''|K05=❑ '''Stable patient'''}} | ||
{{familytree | |,|-|^|-|.| | | | | |!| | | | | | | | |}} | {{familytree | |,|-|^|-|.| | | | | |!| | | | | | | | |}} | ||
{{familytree | K03 | | K04 | | | | |!| | | | |K03=<div style="float: left; text-align: left; height: | {{familytree | K03 | | K04 | | | | |!| | | | |K03=<div style="float: left; text-align: left; background: #F60A0A; height: 10em; width: 15em; padding:1em;"> {{fontcolor|#F8F8FF| '''If the rhythm isn't sinus''':<br> ❑ Urgent [[DC cardioversion]] }} </div>| border=0 |K04=<div style="float: left; text-align: left; background: #F60A0A; height: em; width: 15em; padding:1em;"> {{fontcolor|#F8F8FF|'''If the rhythm is sinus''': <br> | ||
❑ Control the rate:<br> | ❑ Control the rate:<br> | ||
:❑ IV [[metoprolol]] (2.5 to 5 mg over 2 minutes up to a maximum of 15 mg)<br> | :❑ IV [[metoprolol]] (2.5 to 5 mg over 2 minutes up to a maximum of 15 mg)<br> | ||
:❑ Treat the underlying cause<br></div>}} | :❑ Treat the underlying cause<br> }} </div>| border=0}} | ||
{{familytree | | |!| |!| | | | | | K06 | | | | | | | | |K06=<div style="float: left; text-align: left; width: 15em; padding:1em;"> '''[[Narrow complex tachycardia resident survival guide#Complete Diagnostic Approach of Narrow complex tachycardia syndrome|Continue with the diagnostic approach]]''' </div> | border=0}} | {{familytree | | |!| |!| | | | | | K06 | | | | | | | | |K06=<div style="float: left; text-align: left; width: 15em; padding:1em;"> '''[[Narrow complex tachycardia resident survival guide#Complete Diagnostic Approach of Narrow complex tachycardia syndrome|Continue with the diagnostic approach]]''' </div> | border=0}} | ||
{{familytree | | |!| |!| | | | | | | | | | }} | {{familytree | | |!| |!| | | | | | | | | | }} | ||
{{familytree | | | E01 | | | | | | | | | E01=<div style=" background: #F60A0A; text-align: left"> {{fontcolor|#F8F8FF| ❑ Assess airway, breathing, and circulation ([[ABC (medical)|<span style="color:white;">ABC</span>]]) <br> ❑ Administer [[oxygen|<span style="color:white;"> oxygen </span>]] if necessary }} </div>| border=0}} | {{familytree | | | E01 | | | | | | | | | E01=<div style=" background: #F60A0A; text-align: left"> {{fontcolor|#F8F8FF| ❑ Assess airway, breathing, and circulation ([[ABC (medical)|<span style="color:white;">ABC</span>]]) <br> ❑ Administer [[oxygen|<span style="color:white;"> oxygen </span>]] if necessary }} </div>| border=0}} | ||
{{Family tree/end}} | {{Family tree/end}} | ||
===Complete Diagnostic Approach in Patients with Suspected Narrow Complex Tachycardia=== | |||
Revision as of 17:44, 1 April 2014
First Initial Rapid Evaluation of Suspected Narrow Complex Tachycardia
Shown below is an algorithm for the First Initial Rapid Evaluation (FIRE) of suspected NCT
Identify cardinal signs and symptoms that increase the pretest probability of NCT ❑ Palpitations (Most common presentation) | |||||||||||||||||||||||||||||||||||||||||||||
| ❑ Unstable patient | ❑ Stable patient | ||||||||||||||||||||||||||||||||||||||||||||
If the rhythm isn't sinus: ❑ Urgent DC cardioversion | If the rhythm is sinus: ❑ Control the rate:
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