Another assessment tool that may be helpful would be;

Evaluation for Kussmaul’s respirations.

Cincinnati Prehospital Stroke Scale.

One of your first steps of treatment should be:

Establish IV access and prepare to administer a normal saline fluid bolus.

Establish IV access and prepare to administer adenosine 6mg IV fast push.

Establish IV access and prepare to administer sedation prior to emergent synchronized cardioversion.

Establish IV access and prepare to administer a beta blocker such as Lopressor 10mg IV.

Treatment of this rhythm should be base on:

Finding and treating the underlying cause.

Slowing the rhythm down with medication.

Speeding up the rhythm with medication.

The cause of sinus tachycardia always involves:

Compensation for an underlying issue such as temperature, pain, fear, bleeding, etc.

An ectopic focus in the ventricle.

A blockage at the level of the AV node.

Tachycardia — EMS | ACLS pretest

57-year-old patient who is two days post op from gastric bypass surgery. He has called the ambulance because he has abdominal pain and is dizzy when he stands. You arrive to find a conscious, alert and oriented patient with slightly pale and diaphoretic skin. He appears to be in distress as he is leaning forward holding his abdomen. He says his pain has been increasing over the past 24 hours. His breathing is not labored. His pulse is strong and regular at a rate of 126. His pulse ox is 96% on room air and his BP is 94/68. You place him on a cardiac monitor that reveals a narrow complex tachycardia.

about 3–5 minutes

Tachycardia — EMS | ACLS pretest

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