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ACLS Rhythms and Treatments Guide

This document summarizes several cardiac rhythms: sinus bradycardia has a slow heart rate below 60 bpm and may require pacing or atropine treatment if symptomatic; premature ventricular contractions appear as isolated wide complexes but do not typically require treatment; supraventricular tachycardia has a fast narrow complex rate over 160 bpm and treatment depends on patient stability; ventricular tachycardia treatment also depends on stability and has a wide fast rhythm; ventricular fibrillation requires immediate defibrillation and CPR; and asystole shows a flat line requiring pulse and equipment checks.

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Valerie Bates
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91 views2 pages

ACLS Rhythms and Treatments Guide

This document summarizes several cardiac rhythms: sinus bradycardia has a slow heart rate below 60 bpm and may require pacing or atropine treatment if symptomatic; premature ventricular contractions appear as isolated wide complexes but do not typically require treatment; supraventricular tachycardia has a fast narrow complex rate over 160 bpm and treatment depends on patient stability; ventricular tachycardia treatment also depends on stability and has a wide fast rhythm; ventricular fibrillation requires immediate defibrillation and CPR; and asystole shows a flat line requiring pulse and equipment checks.

Uploaded by

Valerie Bates
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Sinus Bradycardia

Appearance Narrow QRS and slow rate Rate < 60 Special Note All parts of the ECG are seen In a symptomatic patient, treatment may require immediate pacing or atropine

Premature Ventricular Contraction

Appearance Wide complex embedded within almost any normal rhythm Rate Variable Special Note On its own, does not require treatment. Treat underlying rhythm only.

Supraventricular Tachycardia

Appearance Very fast with narrow QRS Rate > 160 Special Note Notice how the P waves are hidden due to the fast rate (compared to sinus tachycardia) Stable patient: valsalva, followed by adenosine Unstable patient: immediate synchronized cardioversion

Ventricular Tachycardia

Appearance Wide and fast Rate Variable Special Note Treatment will depend on whether patient is stable or not

Ventricular Fibrillation

Appearance Erratic and variable Rate Fast and irregular Special Note Non-perfusing rhythm requiring immediate defibrillation and CPR

Asystole

Appearance Flat wave with no visible complexes Rate 0 Special Note Always check for pulse and equipment malfunction before making final decision of rhythm analysis

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