157
EMR
EMT
AEMT
Paramedic
Extended
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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Vagal Maneuvers