Accelerated Ventricular Rhythm (AVR)
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Uploaded by HeartStartSkills on Sep 22, 2011
Ventricular Rate between 40 - 100bpm faster than the Purkinjie or Ventricular inherent rate (20-40bpm). No P waves. QRS is wide and bizarre with R wave having opposite polarity to ST segment and T wave.
INTERVENTION:
Correct possible causes (sever hypokalemia, toxins, MI). Follow AHA 2011 ACLS Bradycardia Guidelines. Give Atropine 0.5 mg every 3-5 minutes maximum of 3mg. Start pacing (TCP) or if ineffective, give Dopamin 2-10 mcg/kg per minute or Epinephrine 2-10 mcg/min titrate effect.
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