GCEMS Protocol:

 

• Narrow Complex Tachycardia

 

Indications:

 

• Rate control in refractory atrial fibrillation and SVT

 

Contraindications:

 

• Concurrent or recent use of beta blockers

 

Side Effects:

 

• Hypotension, heart block

 

Adult:

 

• 20 mg IV/IO over 2 minutes if systolic BP > 90 mmHG

• if uncontrolled after 15 minutes from initial dose, administer 25 mg IV/IO over 2 minutes if systolic BP > 90 mmHG