Unstable SVT

[ckchoung]

Unstable SVT

Created August 2018

Developed by:

Lisa Ewart
Christina Choung

Developed for: Health Authority High Acuity Unit

Submitted by: ckchoung

Contact Email: simulation@fraserhealth.ca

Peer Reviewed: Yes

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Case Summary:

  ­68 y.o. female admitted to HAU with Sepsis secondary to community acquired pneumonia. History of COPD, smoking, DMII, and HTN. Patient will have had increased SOB and ECG changes ~15 minutes ago, with the ECG from 10 minutes ago showing aflutter at 160 and CXR showing diffuse consolidation. The case will start with the patient normotensive initially but will become hypotensive, unstable, and have increased shortness of breath. The team should decide to electrically cardiovert and increase O2 delivery modality (ultimately ending up with intubation).

Target Learning Groups:

   Physicians, Nursing, Respiratory Therapy, Interprofessional Team

Additional Target Learning Groups:

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Proposed Setting: 

  High Acuity Unit

Educational goals:

  ­• Recognize and practice treating unstable SVT as per ACLS algorithm
• Recognize and treat deteriorating respiratory status
• Establish role clarity and distribute the workload
• Communicate effectively, including closed-loop communication, clear commands and requests, sharing mental model/plan of care, and fostering input of information
• Mobilize resources early and use cognitive aids as needed



Additional Details:

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