What do paramedics give for tachycardia?

Adenosine transiently blocks conduction through the AV node thereby terminating reentrant tachycardias involving the AV node. It is the drug of choice for AV nodal reentrant tachycardia (AVNRT, often referred to as “PSVT”).
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How do paramedics treat tachycardia?

Pulseless v tach is typically treated with advanced cardiac life support (ACLS) interventions, including CPR, defibrillation and antidysrhythmics. Unstable v tach is most often treated with electrical cardioversion.
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What is the emergency drug for tachycardia?

Amiodarone. This drug is used to treat certain narrow- and wide-QRS complex tachycardias identified as ventricular tachycardia or tachycardias of unknown origin. Although a class III antiarrhythmic, it has some properties of all antiarrhythmic classes.
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What drugs do paramedics give for SVT?

The use of adenosine was shown to be effective in reverting SVT, with most total reversion rates being 80.7–100%. The initial 6 mg dose was shown to have lower efficacy than the subsequent 12 mg doses. Correct paramedic identification rates of SVT were greater than 75%.
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What antiarrhythmic drugs do paramedics use?

Antiarrhythmic drugs that may be used include amiodarone, lidocaine, and nifekalant ([5, 6]; Table 1). The ILCOR guidelines recommend the use of amiodarone as first‐choice treatment for adult patients with refractory VF/pVT to improve the rate of return of spontaneous circulation (ROSC) [5, 6].
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Treating SVT with Adenosine



What do paramedics give for AFIB?

Diltiazem (Cardizem): 0.25 mg/kg (actual body weight--not to exceed max. dose of 20 mg) slow IVP over 2 minutes. After 15 minutes, if rate still uncontrolled, consider a second dose of 0.35mg/kg (not to exceed 25 mg) slow IV push over 2 minutes.
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What do paramedics do for AFIB?

As in all dysrhythmia protocols, the first step for paramedics is to determine if the patient in front of them is stable or unstable. If unstable, electricity is indicated, and Standing Orders list instructions for synchronized cardioversion at stepwise increases in joule settings as necessary.
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What is the drug of choice for unstable SVT?

To manage supraventricular tachycardia (SVT), adenosine is ideally given through a peripheral intravenous (IV) access as a 6 mg dose followed by a 20 mL saline flush for rapid infusion. Subsequent doses start at 12 mg, followed by 20 mL of saline for rapid infusion.
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What is the IV drug of choice for supraventricular tachycardia?

Adenosine and the non-dihydropyridine calcium antagonists verapamil and diltiazem are the intravenous (IV) drugs of choice for termination of PSVT.
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Can paramedics give adenosine?

Because of the ability of blood vessel endothelium to metabolize adenosine, it's imperative for EMS providers to give adenosine by rapid bolus followed by a 10—20 cc rapid flush.
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What drugs are used in ICU for tachycardia?

Amiodarone (Cordarone, Pacerone, Nexterone)

Amiodarone is the drug of choice for the treatment of hemodynamically unstable VT that is refractory to other antiarrhythmic agents. Prehospital studies currently suggest that amiodarone is safe and efficacious for use in out-of-hospital cardiac arrest.
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What do paramedics check heart rate?

Three Lead ECG

Paramedics often use the three lead to determine the rate and rhythm of the heart which the Paramedic uses as an assessment tool to determine if the patient's condition is a result of a cardiac problem.
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How do paramedics treat hypertensive crisis?

If the blood pressure remains elevated after beta blockade, a vasodilator such as intravenous nitroglycerin or nitroprusside may be administered. The drugs of choice in treating a hypertensive emergency with acute pulmonary edema are intravenous nitroglycerin, clevidipine, or nitroprusside (1,2,5).
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Do beta blockers treat tachycardia?

Beta-blockers are indicated and have FDA approval for the treatment of tachycardia, hypertension, myocardial infarction, congestive heart failure, cardiac arrhythmias, coronary artery disease, hyperthyroidism, essential tremor, aortic dissection, portal hypertension, glaucoma, migraine prophylaxis, and other conditions ...
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What is the first line drug treatment for unstable tachycardia?

Adenosine is also the first line treatment for patients with paroxysmal atrial tachycardia. For a hemodynamically stable patient, according to the same guidelines as above, first line management is IV beta-blockers, IV Diltiazem or IV Verapamil.
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How do you stop atrial tachycardia?

Medications that providers often use to treat atrial tachycardia include:
  1. Beta-blockers: This type of medication can stop or slow down certain cell functions, especially in your heart.
  2. Calcium channel blockers: These change the way your heart muscle cells use calcium.
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What is prehospital treatment for a flutter?

Prehospital care

Atrial flutter in an unstable patient should be treated immediately with synchronized cardioversion. Unstable patients are those with ongoing chest pain, severe shortness of breath, altered level of consciousness, or hypotension.
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What do paramedics do for heart failure?

Assessment and Treatment

After identifying a patient with potential heart failure based on the symptoms above the next best step is to support their respiration and increase oxygen delivery to the tissues of the body. This is generally done with oxygen via a non-rebreather mask set to 15lpm.
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How does a paramedic treat bradycardia?

The American Heart Association recommends atropine sulfate as the first line of treatment for symptomatic bradycardia, regardless of whether it is due to AVB or not.
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What drug do paramedics use to restart a heart?

CPR and defibrillator shocks that are performed as quickly as possible give them the best chance at life. Adrenaline, also called epinephrine, is only used when those steps fail as a last-ditch effort. It works by increasing blood pressure and hopefully restarting the heart.
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What are 3 drugs for atrial fibrillation?

These are the common medications we use to treat atrial fibrillation.
  • Beta-blockers (bisoprolol, atenolol, carvedilol)
  • Calcium channel blockers (diltiazem/verapamil)
  • Digoxin.
  • 'Pill in the pocket'
  • Flecainide.
  • Sotalol.
  • Amiodarone.
  • Dronedarone.
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What happens if you give adenosine to sinus tachycardia?

Adenosine by virtue of hyperpolarizing the membrane reduces the pacemaker current (If), can terminate sinus node reentrant tachycardia. It terminates with a QRS complex and adenosine‐induced AV block occurs after tachycardia termination.
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What meds are given in a hypertensive emergency Why?

The traditional drug of choice for therapy of hypertensive emergencies is sodium nitroprusside. Intravenous labetalol produces a prompt, controlled reduction in blood pressure and is a promising alternative. Other agents used are diazoxide, trimethaphan camsylate, hydralazine, nitroglycerin, and phentolamine.
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What does the ER do for hypertensive crisis?

“If you are diagnosed with a hypertensive episode, you will be given oral or intravenous medications to try to bring the blood pressure down,” says Dr. Meier. “Damage will also be assessed. If the heart is involved, or if you've had a stroke, additional treatment will be given to address those complications.”
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How do you calm down a hypertensive crisis?

For example, take slow, deep breaths through your nose and exhale through your mouth. This can help lower blood pressure by reducing stress and tension. Placing cold compresses, such as ice packs or cold towels, on your forehead, neck, or wrists can help constrict blood vessels and lower blood pressure.
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