Accelerated Idioventricular Rhythm (Adult)
 
Assess and Mx according to Perfusion Status
   
Adequate Perfusion
BLS
Transport
 
   
Less than Adequate Perfusion
   
   
   
   
 
   
No Perfusion
Mx as per Pulseless Electrical Activity
Mx according to Ventricular Rate
               
Rate <60   Rate 60-100   Rate >100
Mx as per Bradycardia   Normal Saline 250ml IV bolus
- Repeat 250ml IV if perfusion status not improved		   Mx as per Ventricular Tachycardia
 
Special Notes
AIVR is usually a benign rhythm but may be associated with AMI, reperfusion or drug toxicity
Commonly seen in post cardiac arrest Pts.
May be associated with Adrenaline administration.