Tachycardia with pulse critical pathways

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Steven Bellm, M.D. [2]

Critical Pathways

Tachycardia Critical Pathways

Presence of pulse?

Yes

No

Hemodynamically stable?

Yes

No

Definitions

• Hemodynamic instability is defined as:

• Altered mental status
• Cold extremities
• Cyanosis
• Oliguria (urine output <0.5 mL/kg/h)
• Sustained hypotension (≥30 min)

• SBP <90 mm Hg or
• MAP ↓ >30 mm Hg below baseline

Action Items

• Maintain patent airway; assist breathing as needed.
• Maintain i.v. access.
• Administer oxygen if hypoxemic.
• Monitor blood pressure, oximetry and attach ECG monitor/defibrillator.