Donate

Managing a ‘tet spell’ (In sequence of escalation)

  1. Knee to chest position (increases PVR).
  2. IV/IM/SC morphine (0.1-0.2mg/kg)
  3. Fluid bolus (10-20cc/kg)
  4. IV beta blockers, i.e. propranolol – decrease RVOT spasm
  5. Phenylephrine – increase PVR.
  6. Emergent surgical repair or shunt.

~ Neonates may need prostaglandins if they are dependent on their ductus arteriosus.

Emergency Medicine Kenya Foundation

Join Our Newsletter

Please complete this form to create an account, receive email updates and much more.
Contact Email *
First Name *
Last Name *
Facility or Organisation *
Designation or Occupation *
County or City *
Country *
Mobile number 
*
*Required Fields
I agree to the Privacy Policy and Terms of Use. It is our responsibility to protect your privacy and we guarantee that your data will be completely confidential.
Strengthening emergency healthcare systems in Kenya to save lives.