PICTURE
Rhythm
Sinus
Bradycardia
Tx
IV Atropine 
transcutaneous pacing 
dopamine/epinephrine
permanent pacemaker
Sinus
Tachycardia
IV Beta Blocker
Adenosine
CCB (diltiazem)
 synchronized
cardioversion (unstable)
Supraventricular IV Adenosine
Tachycardia
IV Beta Blockers/CCB,
(SVT)
Amiodarone
 synchronized
cardioversion (unstable)
Atrial Flutter
IV CCB/Beta Blockers
Antidysrhythmic
(ibutilide)
Amiodarone
 Electrical
Cardioversion (unstable)
Atrial Fib
IV CCB/Beta Blockers
Amiodarone
Digoxin
 Electrical
Cardioversion
ANTICOAGULANTS 
prevent stroke (warfarin,
apixaban, rivaroxaban,
dabigatran)
None  MONITOR
1ST Degree AV
Block
Premature
Ventricular
Contraction
(PVC)
Paced Rhythm
Ventricular
Tachycardia
Ventricular
Fibrillation
Asystole
Tx the cause
Beta Blockers
Lidocaine
Amiodarone
Pace Maker
Tx the cause
Monomorphic  IV
procainamide, lidocaine,
amiodarone
**NO PULSE  CPR
RAPID DEFIB  EPI &
AMIODARONE**
CPR and ACLS W/ DEFIB
 EPINEPHRINE &
AMIODARONE
CPR AND ACLS
EPINEPHRINE AND
INTUBATE