Pediatric tachycardia

  1. Hello, I'm a home health nurse for a 2 year old mechanical ventilated pt. Non responsive. Today her heart rate elevated to 214. She is normally 90-140. What Can I do to lower her heart rate without medication? It stayed in the high 160s-180s for about another 1 1/2 hours. Thank you!
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  2. 3 Comments

  3. by   meanmaryjean
    Was she febrile? Anything that might be causing pain? Has this ever happened before? Seizure history?
  4. by   AmandaJeanIngram
    Not febrile. She has a mitochondrial deletion disorder and can't verbalize pain. And she has had a history but it's been about 3 months since the last episode. She is on keppra for seizures.
  5. by   LilyRN99
    Maybe try Tylenol in case there is pain that she can't express or for possible fever. All my home care cases have orders for Tylenol. I would make sure they aren't hot. I often remove socks and extra blankets off my ped patients. Is she calm? Could a relaxing massage help? I'm curious in other people's answers. I had a similar issue but the docs never figured out a case for his tachycardic episodes. He was also having fevers with no known infectious cause.

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