2015 Trumbull Memorial Hospital Demo

Vagal Maneuvers

Vagal Maneuvers

Clinical Indications:

 PSVT requiring conversion

Clinical Considerations:  Vagal Maneuvers will not work on tachycardias originating in the atria (Afib/Aflutter)  This protocol is for the Valsalva maneuver

Steps

Performed? Yes No

1. Ensure the clinical indications are met

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2. Explain the need for the procedure to the patient

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3. Instruct the patient to:  Inhale deeply

 Flex abdominal and chest muscles  “Bear down” as if making a bowel movement or cough deeply  Results are typically seen in 10-15 seconds

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4. If the procedure is ineffective, wait 1 minute, obtain vital signs, and repeat step 3.

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5. Document the time and results of the procedure in the patient care report.

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157

EMR

EMT

AEMT

Paramedic

Extended