1. Ventricular Rhythms
1.1. V-Tach w/o A Pulse
1.1.1. Pic
1.1.1.1. CPR
1.1.1.2. Defibrillation at 200 joules
1.1.1.3. IV
1.1.1.4. Epinephrine 1:10,000 1mg every 3-5 min
1.1.1.5. Amiodarone 300mg
1.1.1.6. After completing the second cycle of CPR and giving another 150mg of Amiodarone no more of the drug can be given.
1.2. V-Tach w/ A Pulse
1.2.1. Pic
1.2.1.1. CPR
1.2.1.2. Defibrillation at 100 joules
1.2.1.3. Amiodarone 150mg
1.2.1.4. Epinephrine 1:10,000 1mg every 3-5 min
1.2.1.5. The second round of Amiodarone given after second round of CPR is at 150mg.
1.3. V-Fib w/o A Pulse
1.3.1. Pic
1.3.1.1. CPR
1.3.1.2. Defibrillation at 200 joules
1.3.1.3. IV
1.3.1.4. Epinephrine 1:10,000 1mg very 3-5 min
1.3.1.5. Amiodarone 300mg
1.3.1.6. After completing the second cycle of CPR and giving another 150mg of Amiodarone no more of the drug can be given.
2. Asystole / PEA
2.1. Pic
2.1.1. CPR
2.1.2. 1mg Epinephrine 1:10,000 every 3-5 Min
2.1.3. Treat Any Underlying Cause
3. Heart Blocks
3.1. 1st Degree
3.1.1. Pic
3.1.1.1. Oxygen
3.1.1.2. IV
3.1.1.3. Transcutaneous Pacing
3.1.1.4. Dopamine/Levophed Drip If B/P Is Low
3.2. 2nd Degree Type I
3.2.1. Pic
3.2.1.1. Treated same as 1st degree
3.3. Second Degree Type II
3.3.1. Pic
3.3.1.1. Treated same as 1st degree
3.4. 3rd Degree
3.4.1. Pic
3.4.1.1. Treated same as 1st and 2nd degree
4. All Heart Blocks Are Treated The Same
5. V-Fib without a pulse is treated the same as V-Tach without a pulse
6. Sinus Rhythms
6.1. Sinus Brady
6.1.1. Pic
6.1.1.1. Stable:
6.1.1.1.1. Usually not treated if Asymptomatic
6.1.1.2. Unstable:
6.1.1.2.1. Oxygen and IV placement
6.1.1.2.2. Atropine 0.5mg bolus every 3-5 min until 3.0 mg has been delivered
6.1.1.2.3. If Atropine Fails:
6.2. Sinus Normal
6.2.1. Pic
6.2.1.1. With a Pulse:
6.2.1.1.1. Normal Homeostatic Condition. No treatment nesseccary
6.2.1.2. Without a Pulse:
6.2.1.2.1. This is PEA, refer to that section on this map
6.3. Sinus Tachy
6.3.1. Pic
6.3.1.1. Treatment is directed at the underlying cause such as hypovolemia, fever, hypoxia, or other causes
7. Atrial Rhythms
7.1. A-Fib w/o RVR
7.1.1. Pic
7.1.1.1. Stable:
7.1.1.1.1. Usually not treated if Asymptomatic
7.1.1.2. Unstable:
7.1.1.2.1. Oxygen
7.1.1.2.2. 1st- synchronized Cardioversion at 50 joules
7.1.1.2.3. 2nd- Cardizem Bolus of 20mg over five min
7.1.1.2.4. Cardizem Drip
7.2. A-Fib w/ RVR
7.2.1. Pic
7.2.1.1. See treatment above
7.3. A-Flutter w/o RVR
7.3.1. Pic
7.3.1.1. See treatment above
7.4. A-Flutter w/ RVR
7.4.1. Pic
7.4.1.1. See treatment above
8. All Atrial Rhythms Are Treated The Same
9. Supraventricular Tachycardia
9.1. Pic
9.1.1. Stable:
9.1.1.1. Vagal Manuever
9.1.1.2. Adenosine 6mg, 6mg, 12mg
9.1.1.3. Cardioversion at 50 joules
9.1.2. Unstable:
9.1.2.1. Cardioversion at 50 joules
9.1.2.2. Adenosine 6mg, 12mg, 12mg