Thursday, June 23, 2011

Pediatic Resuscitation: SVT

Stable SVT

Vagal maneuvers: 
  1. Ice to face
  2. Blow through straw
Adenosine:
  1. Initial: 0.1 mg/kg  (max 6 mg)
  2. Susequant: 0.2 mg/kg (max 12 mg)
Consider alternative medication:
  1. Amiodarone: 5 mg/kg (over 20-60 min)
  2. Procainamide: 15 mg/kg (over 30-60 min)
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Verapamil should not be used as blocking agent for in infants...Bradycardia and Hypotension























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Unstable SVT:

Cardioversion:
  1. First dose: 0.5 - 1 J/kg
  2. Second dose: 2J/Kg

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