ACLS Megacode 6: Supraventricular Tachycardia

Her initial vitals are as follows: T: 36.8 °C, BP: 120/60 mmHg, HR: 180 bpm, RR: 20 breaths/min, SpO2: 100% on room air.

You check an EKG which demonstrates the following:

1.What is the best management strategy?

Beta-blockers Carotid massage or valsalva maneuvers Calcium channel blockers IV fluids

2.What medication can be administered for therapeutic and/or diagnostic purposes?

Amiodarone Atenolol Amitriptyline Adenosine

Atrial flutter

The patient remains stable and well perfused.

3.What is your next step in management?

Transfuse Re-assess vitals Calcium channel blockers Amiodarone

Her repeat vitals are as follows: T: 36.8 °C, BP: 70/40 mmHg, HR: 180-189 bpm, RR: 24 breaths/min, O₂: 100%

You get a repeat EKG which demonstrates the following:

4.What is your next step in management?

Carotid massage Administer calcium channel blocker Cardiovert Defibrillate

5.What Joules should be used for cardioversion?

50–100 J 220 J 200 J 360 J

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